Provider Demographics
NPI:1578830550
Name:NOYES, CHARLES ALBERT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ALBERT
Last Name:NOYES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:159 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANTI
Mailing Address - State:UT
Mailing Address - Zip Code:84642-1257
Mailing Address - Country:US
Mailing Address - Phone:435-835-3344
Mailing Address - Fax:435-835-3081
Practice Address - Street 1:375 NW BEAVER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1802
Practice Address - Country:US
Practice Address - Phone:541-447-0707
Practice Address - Fax:541-383-1883
Is Sole Proprietor?:No
Enumeration Date:2011-11-19
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORRPH-00146591835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist