Individual
CHARLENE JANET FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1919 FAITHON P LUCAS SR BLVD, MESQUITE, TX 75181-1697
(469) 726-0013
(469) 726-0590
Mailing address
1919 FAITHON P LUCAS SR BLVD, MESQUITE, TX 75181-1697
(469) 726-0013
(469) 726-0590
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
30463
TX
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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