Charles O Faulconer JR., RPH

NPI #1194006429 in Forest, Virginia

Provider Information

NPI Number: 1194006429
Entity Type: Individual
Name: Charles O Faulconer JR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 31, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 17421 FOREST RD
City: Forest
State: Virginia
ZIP Code: 24551-5020
Phone: (434) 316-5403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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