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NPI Code Detail

MEDICARE: DALE ALAN CHRISTENSEN PHARMD

MEDICARE: DALE ALAN CHRISTENSEN 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
1183500000XPharmacist33772TN

General Provider Information

NPI Number : 1538445309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALE ALAN CHRISTENSEN PHARMD
Provider Business Mailing Address
First Line : 3749 NAPLES CT N
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-1627
Country : US
Telephone Number : 605-203-0929
Fax Number :
Provider Business Practice Location Address
First Line : 1954 MADISON ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-8038
Country : US
Telephone Number : 931-552-8108
Fax Number : 931-552-9614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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Directions to “ DALE ALAN CHRISTENSEN PHARMD” Practice Location

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