NPI 1023601127

Charles Cleveland

Practitioner Pharmacy Technician Springfield, MA

Practice location

Address: 380 Plainfield Street Pharmacy, Springfield, MA 01107-1524
Phone: (413) 794-9442

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PT275 (MA)

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Registry record

NPI: 1023601127
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2021
Record last updated: 19 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.