Provider Demographics
NPI:1881933513
Name:LAGUERRE, CHRISTOPHE (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHE
Middle Name:
Last Name:LAGUERRE
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 1:1596 ADRIAN DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-2002
Mailing Address - Country:US
Mailing Address - Phone:678-361-2200
Mailing Address - Fax:770-996-2805
Practice Address - Street 1:1596 ADRIAN DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-2002
Practice Address - Country:US
Practice Address - Phone:678-361-2200
Practice Address - Fax:770-996-2805
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH018373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist