MR. Chacko Joseph Puthentharayil, B.PHARM

NPI #1376772129 in Olivet, Michigan

Provider Information

NPI Number: 1376772129
Entity Type: Individual
Name: MR. Chacko Joseph Puthentharayil, B.PHARM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: B.PHARM
Enumeration Date: Jul 14, 2009
Last Updated: Jun 8, 2020

Practice Location

Address: 116 N. MAIN STREET
Address 2: OLIVET PHARMACY
City: Olivet
State: Michigan
ZIP Code: 49076
Phone: (692) 805-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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