Individual
MARTHA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 MAIN ST, HILTON HEAD ISLAND, SC 29926-1651
(843) 689-1333
(843) 689-1334
Mailing address
301 MAIN ST, HILTON HEAD ISLAND, SC 29926-1651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41959
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41959
BOARD OF PHARMACY PHARMACIST LICENSE
—
Enumeration date
07/12/2019
Last updated
07/12/2019
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