Provider Demographics
NPI:1578273348
Name:SEARS, CHARLES RANDOLPH SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:RANDOLPH
Last Name:SEARS
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18535 FM 1488 RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2700
Mailing Address - Country:US
Mailing Address - Phone:281-796-6582
Mailing Address - Fax:281-356-8528
Practice Address - Street 1:18535 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2700
Practice Address - Country:US
Practice Address - Phone:281-356-6103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist