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Charlene Carlos

Pharmacist in Vacaville, CA. Individual provider (NPI-1).

NPI number1063279255
StatusActive
Last updated in NPPESMar 4, 2024

Details

NPI
1063279255
Entity type
Individual (NPI-1)
Name
Charlene Carlos
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2024
Certification date
Feb 28, 2024
Last updated
Mar 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist85915CAYes

Practice location

1600 California Drive
Vacaville, CA 95687

Phone 707-448-6841

Mailing address

1742 S Breezy Meadow Dr
Sacramento, CA 95834-2683

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