Provider Demographics
NPI:1598067431
Name:BRANTON, CHARLES JAMES (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:JAMES
Last Name:BRANTON
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 1:202 W NC HIGHWAY 54
Mailing Address - Street 2:SOUTHPOINTE CROSSING
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7563
Mailing Address - Country:US
Mailing Address - Phone:919-361-9427
Mailing Address - Fax:
Practice Address - Street 1:202 W NC HIGHWAY 54
Practice Address - Street 2:SOUTHPOINTE CROSSING
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7563
Practice Address - Country:US
Practice Address - Phone:919-361-9427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist