Charles Stump
NPI #1629380084 in Trophy Club, Texas
Provider Information
- NPI Number
- 1629380084
- Entity Type
- Individual
- Name
- Charles Stump
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jul 13, 2010
- Last Updated
- Jul 13, 2010
Practice Location
- Address
- 101 TROPHY LAKE DR
- City
- Trophy Club
- State
- Texas
- ZIP Code
- 76262-5233
- Phone
- (817) 490-6968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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