Provider Demographics
NPI:1053530154
Name:BRITT, CHARLES ARNOLD (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:ARNOLD
Last Name:BRITT
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 1:726 S SCALES ST
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5330
Mailing Address - Country:US
Mailing Address - Phone:336-342-0071
Mailing Address - Fax:336-394-1110
Practice Address - Street 1:726 S SCALES ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5330
Practice Address - Country:US
Practice Address - Phone:336-342-0071
Practice Address - Fax:336-394-1110
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05907183500000X
NC225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1740278167OtherNPI
NC7795121Medicaid