Charles Michael Chucta

NPI 1518266386 - Pharmacist - 183500000X

NPI Details
NPI 1518266386
Gender Male
Enumeration Date 03/19/2011
Last Updated 03/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1950 W CENTRE AVE
PORTAGE MI, 49024-5334, US
Phone (269) 321-0664
Fax
Business Location
1950 W CENTRE AVE
PORTAGE MI, 49024-5334, US
Phone (269) 321-0664
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302023408
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According to our database, Charles Michael Chucta NPI is 1518266386, taxonomy code is 183500000X and license number is 5302023408, license state is located at Michigan. Charles Michael Chucta physically located at 1950 W Centre Ave, Portage MI, 49024-5334. NPI Number Charles Michael Chucta has the Individual type.

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1518266386 NPI number is provided on an as is basis without warranty of any kind. 1518266386 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Michael Chucta are for informational purposes only.