Charles Wayne Young, RPH

NPI #1356637847 in Baxter, Minnesota

Provider Information

NPI Number: 1356637847
Entity Type: Individual
Name: Charles Wayne Young, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 14546 DELLWOOD DR
City: Baxter
State: Minnesota
ZIP Code: 56425-9744
Phone: (218) 828-9219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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