Provider Demographics
NPI:1871926675
Name:BOOTH, CHRISTOPHER JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:BOOTH
Suffix:
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:SCHOOL OF PHARMACY COON EDUCATION BUILDING
Mailing Address - Street 2:MARSHALL UNIVERSITY, ONE JOHN MARSHALL DRIVE
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25755-0001
Mailing Address - Country:US
Mailing Address - Phone:304-696-7305
Mailing Address - Fax:
Practice Address - Street 1:215 35TH ST SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1318
Practice Address - Country:US
Practice Address - Phone:304-343-8621
Practice Address - Fax:304-343-1015
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist