MEDICARE: MR. CHARLES EDWARD ELMORE 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
1	183500000X	Pharmacist	5302019908	MI

General Provider Information

NPI Number	:	1669539920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES EDWARD ELMORE RPH

Provider Business Mailing Address
First Line	:	9366 NEWBURG CT
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-9755
Country	:	US
Telephone Number	:	517-423-3896
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 W CHICAGO BLVD
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-8727
Country	:	US
Telephone Number	:	517-424-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1073476685 — EMILY KAY BURNS
Practice Location Address:

1434 W CHICAGO BLVD STE A
TECUMSEH, MI
49286-8727

Practice Phone: 517-507-5555
Practice Fax:

1720072572 — BUSCHS INC
Practice Location Address:

1450 W CHICAGO BLVD
TECUMSEH, MI
49286-8727

Practice Phone: 517-424-1212
Practice Fax: 517-424-1213

1831267194 — DR. SHANNON KAYE KULICK PHARM D.
Practice Location Address:

1450 W CHICAGO BLVD
TECUMSEH, MI
49286-8727

Practice Phone: 517-424-1212
Practice Fax: 517-424-1213

1922127463 — JONATHAN RYAN PARKER P.T.
Practice Location Address:

1434 W CHICAGO BLVD.
TECUMSEH, MI
49286-8727

Practice Phone: 517-563-3378
Practice Fax: 517-563-4527

1124364716 — DR. DIANA MICHELLE SCHNEIDER DPT
Practice Location Address:

1434 W CHICAGO BLVD
TECUMSEH, MI
49286-8727

Practice Phone: 517-424-8100
Practice Fax:

1285102434 — ALLYSON JEANETTE MARVEL AT, ATC
Practice Location Address:

1434 W CHICAGO BLVD
TECUMSEH, MI
49286-8727

Practice Phone: 517-424-8100
Practice Fax: 517-424-8200

Directions to “ MR. CHARLES EDWARD ELMORE RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.