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Dr. Charles Wesley Durham, PHARMD,BCPS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Atlanta, Georgia
NPI 1235431495

Charles Wesley Durham is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Atlanta, GA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Charles Wesley Durham practices in Atlanta, GA and has the professional credentials of PHARMD,BCPS. The NPI Number for Charles Wesley Durham is 1235431495 and holds a License No. PHI-015156 (Georgia).

The current practice location address for Charles Wesley Durham is 3495 Piedmont Rd Ne Bldg 9, Atlanta, GA and can be reached out via phone at 703-439-4986. You can also correspond with Charles Wesley Durham through the mailing address at 3495 PIEDMONT RD NE BLDG 9, ATLANTA, GA - 30305-1729 (mailing address contact number: 703-439-4986).

Location: 3495 Piedmont Rd Ne Bldg 9, Atlanta, GA, 30305-1729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235431495
Provider Name
Charles Wesley Durham
Credential
PHARMD,BCPS
Provider Entity Type
Individual
Gender
Male
Address
3495 Piedmont Rd Ne Bldg 9, Atlanta, GA, 30305-1729
Phone Number
703-439-4986
Fax Number
Provider Enumeration Date
11/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LDO002227 01 GA STATE LICENSE
0202212968 01 VA STATE LICENSE
PHI-015156 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3495 Piedmont Rd Ne Bldg 9
City
Atlanta
State
Georgia
Zip
30305-1729
Phone Number
703-439-4986
Fax Number
person
Provider Business Mailing Address Details
Address
3495 Piedmont Rd Ne Bldg 9
City
Atlanta
State
Georgia
Zip
30305-1729
Phone Number
703-439-4986
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
0202212968 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
LDO002227 (Georgia)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
person
Provider's Taxonomy Details 3
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
()
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PHI-015156 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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