Charles, Kenneth
Charles, Kenneth is an individual health care provider with primary practice located at 2201 W Grauwyler Rd , Irving TX 75061-4345. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Charles, Kenneth can be contacted via phone (972) 790-5747.Contact Information
Primary practice address
2201 W Grauwyler Rd
Irving TX 75061-4345
Phone: (972) 790-5747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 36190 | Texas |
Profile Details
| NPI number | 1699307546 |
|---|---|
| LBN Legal business name | Charles, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2020 |
| Last updated | Nov 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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