Riley, Charles Blake

Riley, Charles Blake is an individual health care provider with primary practice located at 1409 N Jefferson St , Carrollton MO 64633-1945. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Riley, Charles Blake can be contacted via phone (660) 542-2020.

Contact Information

Primary practice address
1409 N Jefferson St Carrollton MO 64633-1945
Phone: (660) 542-2020
Fax: (660) 542-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2008018176 Missouri

Profile Details

NPI number 1447426861
LBN Legal business name Riley, Charles Blake
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Mar 27th, 2017 - about 8 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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