Provider Demographics
NPI:1639053903
Name:KULEMFUKA, CHRISTIAN (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:KULEMFUKA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 BRUMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KEELING
Mailing Address - State:VA
Mailing Address - Zip Code:24566-2902
Mailing Address - Country:US
Mailing Address - Phone:443-857-6864
Mailing Address - Fax:
Practice Address - Street 1:3231 HALIFAX RD
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-4907
Practice Address - Country:US
Practice Address - Phone:434-572-6994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist