MRS. Charmaine Denise Mode, BSCPHARM

NPI #1669503389 in Longview, Washington

Provider Information

NPI Number: 1669503389
Entity Type: Individual
Name: MRS. Charmaine Denise Mode, BSCPHARM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: BSCPHARM
Enumeration Date: Mar 7, 2007
Last Updated: Dec 6, 2018

Practice Location

Address: 1615 DELAWARE ST
City: Longview
State: Washington
ZIP Code: 98632-2367
Phone: (360) 414-7656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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