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Individual

DR. CHARLES ALLEN MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
8223 STATE HIGHWAY 151, SAN ANTONIO, TX 78245-2104
(210) 247-0017
(210) 247-0017
Mailing address
8223 STATE HIGHWAY 151, SAN ANTONIO, TX 78245-2104
(210) 247-0017
(210) 247-0017

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43779
TX

Other

Enumeration date
07/04/2011
Last updated
07/04/2011
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