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1841222825
CHARLES JOSEPH MCCOLLUM
BRADENTON, FL
NPI
1841222825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: FL Ps28524)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mr. CHARLES JOSEPH MCCOLLUM R.Ph.
1312 MANATEE AVE EAST
BRADENTON, FL 34208
Phone number: 941-708-8520
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Mailing Address
Mr. CHARLES JOSEPH MCCOLLUM R.Ph.
2766 ASHLAND LANE
NORTH PORT, FL 34286-4319
Phone number: 941-426-8848
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