MR. Charles Douglas Louisell, R.PH.

NPI #1306061510 in Portage, Michigan

Provider Information

NPI Number: 1306061510
Entity Type: Individual
Name: MR. Charles Douglas Louisell, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Apr 14, 2007
Last Updated: Mar 31, 2011

Practice Location

Address: 1950 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-5334
Phone: (269) 321-0664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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