Provider Demographics
NPI:1346225513
Name:HARCHA, CHARLES J (RPH)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:J
Last Name:HARCHA
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 1:233A BURTS LN
Mailing Address - Street 2:
Mailing Address - City:STOUT
Mailing Address - State:OH
Mailing Address - Zip Code:45684-9088
Mailing Address - Country:US
Mailing Address - Phone:740-858-5445
Mailing Address - Fax:740-353-4197
Practice Address - Street 1:1220 KINNEYS LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2870
Practice Address - Country:US
Practice Address - Phone:740-354-3116
Practice Address - Fax:740-353-4197
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-18488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist