CHARLES ROBERT SULLIVAN

COOS BAY, OR
NPI1801190194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0012450)
Enumeration Date2010-12-31
Last Update Date2010-12-31
Business Address
Mr. CHARLES ROBERT SULLIVAN
230 E JOHNSON AVE
COOS BAY, OR 97420-1478
Phone number: 541-267-1709
Mailing Address
Mr. CHARLES ROBERT SULLIVAN
230 E JOHNSON AVE
COOS BAY, OR 97420-1478
Phone number: 541-267-1709
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