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Charles Standard

Pharmacist in McDonough, GA. Individual provider (NPI-1).

NPI number1164028684
StatusActive
Last updated in NPPESDec 9, 2020

Details

NPI
1164028684
Entity type
Individual (NPI-1)
Name
Charles Standard
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 9, 2020
Certification date
Dec 9, 2020
Last updated
Dec 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH015817GAYes

Practice location

518 Harper Rd
McDonough, GA 30252-4949

Phone 770-954-9511

Mailing address

518 Harper Rd
McDonough, GA 30252-4949

Phone 770-954-9511

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