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Individual

CHARLES OVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 N CABLE RD, LIMA, OH 45805-1737
(419) 222-9462
Mailing address
701 N CABLE RD, LIMA, OH 45805-1737

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03313430
OH

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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