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Mr. Charles Robert Sullivan
Pharmacist in Coos Bay, Oregon
NPI 1801190194

Charles Robert Sullivan is a Pharmacist based in Coos Bay, OR. Charles Robert Sullivan practices in Coos Bay, OR. The NPI Number for Charles Robert Sullivan is 1801190194 and holds a License No. 0012450 (Oregon).

The current practice location address for Charles Robert Sullivan is 230 E Johnson Ave, Coos Bay, OR and can be reached out via phone at 541-267-1709.

Location: 230 E Johnson Ave, Coos Bay, OR, 97420-1478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801190194
Provider Name
Charles Robert Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
230 E Johnson Ave, Coos Bay, OR, 97420-1478
Phone Number
541-267-1709
Fax Number
Provider Enumeration Date
12/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 E Johnson Ave
City
Coos Bay
State
Oregon
Zip
97420-1478
Phone Number
541-267-1709
Fax Number
person
Provider Business Mailing Address Details
Address
230 E Johnson Ave
City
Coos Bay
State
Oregon
Zip
97420-1478
Phone Number
541-267-1709
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0012450 (Oregon)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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