MR. Charles C Ehresman

NPI #1104015635 in Geneva, New York

Provider Information

NPI Number: 1104015635
Entity Type: Individual
Name: MR. Charles C Ehresman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2007
Last Updated: Feb 6, 2010

Practice Location

Address: 990 STATE ROUTE 5 AND 20
City: Geneva
State: New York
ZIP Code: 14456-9543
Phone: (315) 781-2325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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