Individual
MR. CHARLES JOSEPH COM ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15601 HICKMAN RD, CLIVE, IA 50325-7985
(515) 987-6807
Mailing address
15601 HICKLMAN ROAD, CLIVE, IA 50325
(515) 987-6807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14209
IA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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