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MR. CHARLES ARTHUR CAVANAUGH PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1619245123

Individual Registrant:
MR. CHARLES ARTHUR CAVANAUGH PHARMACIST
Gender: M
Sole Proprietor

Location and contact information for practice:
2515 CRAWFORD RD  PHENIX CITY, AL 36867-3629 US
Tel: 334-297-3722  Fax: --

Contact information for business:
75 LEE ROAD 529  PHENIX CITY, AL 36870-8818 US
Tel: 334-297-3111  Fax: --

Registration Information:
NPI: 1619245123
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
GA8898
Y183500000XPharmacy Service Providers
Pharmacist
AL5644

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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