Doctor Name: | MR. CHARLES FRANCIS SHROCK |
NPI Number: | 1497058986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMACIST |
License Number: | 4596 |
Business Practice Address: | 80 Westlake Hardy, VA - 24121 |
Business Phone Number: | 8042405286 |
Business Fax Number: | |
Mailing Address: | 412 Bedford Ave, BEDFORD |
State: | VA |
Postal Code: | 245231920 |
Phone Number: | 8042405286 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2010 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 4596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |