Individual
MR. CHARLES CLIFFORD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
3124 MALONE DR, MONTGOMERY, AL 36106-2647
(334) 279-3823
Mailing address
3124 MALONE DR, MONTGOMERY, AL 36106-2647
(334) 279-3823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6389
AL
Other
Enumeration date
06/13/2005
Last updated
07/30/2007
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