Provider Demographics
NPI:1215211339
Name:CHARLES, DEBBIE R (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:R
Last Name:CHARLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9208 NUGENT TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6325
Mailing Address - Country:US
Mailing Address - Phone:561-507-5300
Mailing Address - Fax:561-507-5302
Practice Address - Street 1:9208 NUGENT TRAIL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2262
Practice Address - Country:US
Practice Address - Phone:561-507-5300
Practice Address - Fax:561-507-5302
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist