Individual
CHARLES FRANCIS LUSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(866) 600-8279
(866) 600-5321
Mailing address
12730 FIG RD, WILTON, CA 95693-9674
(916) 687-0639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15168
LA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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