Averette, Charles Samuel

Averette, Charles Samuel is an sole proprietor health care provider with primary practice located at 240 Broad St , Dublin VA 24084-3203. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Averette, Charles Samuel can be contacted via phone (540) 674-5261.

Contact Information

Primary practice address
240 Broad St Dublin VA 24084-3203
Phone: (540) 674-5261
Fax: (540) 674-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202004444 Virginia

Profile Details

NPI number 1053692095
LBN Legal business name Averette, Charles Samuel
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2011
Last updated Sep 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053692095 NPPES
Virginia MEDICAID 1205071735

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