MEDICARE: DR. CHRISTOPHER J FOLK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15052-040	WI

General Provider Information

NPI Number	:	1205103967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER J FOLK PHARMD

Provider Business Mailing Address
First Line	:	819 N MEMORIAL DR
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53404-3270
Country	:	US
Telephone Number	:	262-637-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 N MEMORIAL DR
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53404-3270
Country	:	US
Telephone Number	:	262-637-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2011
Last Update Date	:	11/23/2011

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