Provider Demographics
NPI:1447376272
Name:MUNDEN, CHRISTOPHER JAMES (RPH)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:MUNDEN
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 1:132 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-1522
Mailing Address - Country:US
Mailing Address - Phone:269-781-3411
Mailing Address - Fax:269-781-2579
Practice Address - Street 1:132 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-1522
Practice Address - Country:US
Practice Address - Phone:269-781-3411
Practice Address - Fax:269-781-2579
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist