Provider Demographics
NPI:1427326156
Name:DOOLEY, CHARLES L (RPH)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:L
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 PARRIS ISLAND GATEWAY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906
Mailing Address - Country:US
Mailing Address - Phone:843-524-2300
Mailing Address - Fax:843-524-0915
Practice Address - Street 1:860 PARRIS ISLAND GTWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906
Practice Address - Country:US
Practice Address - Phone:843-524-2300
Practice Address - Fax:843-524-0915
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC008019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist