Provider Demographics
NPI:1669524005
Name:WILKINS, CHARLES MURRAY (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:MURRAY
Last Name:WILKINS
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 1:2608 PINENEEDLES RD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4230
Mailing Address - Country:US
Mailing Address - Phone:919-734-9416
Mailing Address - Fax:
Practice Address - Street 1:2415 W. VERNON AVENUE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-3321
Practice Address - Country:US
Practice Address - Phone:252-208-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist