Provider Demographics
NPI:1295395465
Name:SYNCO, CHARLES L (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:L
Last Name:SYNCO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N 3 NOTCH ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-2012
Mailing Address - Country:US
Mailing Address - Phone:334-566-2610
Mailing Address - Fax:334-566-2611
Practice Address - Street 1:200 N 3 NOTCH ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2012
Practice Address - Country:US
Practice Address - Phone:334-566-2610
Practice Address - Fax:334-566-2611
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist