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NPI Code Detail

MEDICARE: CHARLES G SUTTLE RPH

MEDICARE: CHARLES G SUTTLE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist23630TX

General Provider Information

NPI Number : 1336476191
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES G SUTTLE RPH
Provider Business Mailing Address
First Line : 8206 HIGHWAY 6 N
Second Line :
City : HOUSTON
State : TX
Zip : 77095-1904
Country : US
Telephone Number : 281-550-2169
Fax Number : 281-550-9069
Provider Business Practice Location Address
First Line : 8206 HIGHWAY 6 N
Second Line :
City : HOUSTON
State : TX
Zip : 77095-1904
Country : US
Telephone Number : 281-550-2169
Fax Number : 281-550-9069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2009
Last Update Date : 11/15/2009

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Directions to “ CHARLES G SUTTLE RPH” Practice Location

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