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1760476972
CHARLES R. AXELTON
COOS BAY, OR
NPI
1760476972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 7890)
Enumeration Date
2005-09-02
Last Update Date
2007-07-08
Business Address
CHARLES R. AXELTON R.PH.
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8160
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Mailing Address
CHARLES R. AXELTON R.PH.
94344 SUNLIGHT LN
NORTH BEND, OR 97459-7740
Phone number: 541-759-3896
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