Provider Demographics
NPI:1962588509
Name:MCPHERSON, CHARLES E III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:MCPHERSON
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3628
Mailing Address - Country:US
Mailing Address - Phone:312-933-3569
Mailing Address - Fax:312-996-0379
Practice Address - Street 1:833 S. WOOD ST., RM 164 M/C 886
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-996-8865
Practice Address - Fax:312-996-0379
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2863531835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy