Provider Demographics
NPI:1407095672
Name:DEUEL, CHARLEY JAMES JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLEY
Middle Name:JAMES
Last Name:DEUEL
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8015 WOODLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-7455
Mailing Address - Country:US
Mailing Address - Phone:251-649-3784
Mailing Address - Fax:251-478-7498
Practice Address - Street 1:2710 SPRINGHILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2918
Practice Address - Country:US
Practice Address - Phone:251-478-7607
Practice Address - Fax:251-478-7498
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist