Dr. Charles Wesley Gaines, Pharm. D.
Pharmacist in Orland Park, IL. Individual provider (NPI-1).
NPI number1124309596
StatusActive
Last updated in NPPESAug 30, 2011
Details
- NPI
- 1124309596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Wesley Gaines
- Credential
- Pharm. D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2011
- Last updated
- Aug 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051289352 | IL | Yes |
Practice location
17955 Wolf RdOrland Park, IL 60467-9427
Phone 708-478-3758 · Fax 708-478-3753
Mailing address
17955 Wolf RdOrland Park, IL 60467-9427
Phone 708-478-3758 · Fax 708-478-3753
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