Healthcare Provider Details

I. General information

NPI: 1588286629
Provider Name (Legal Business Name): CHRISTOPHER TODD ELDER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 OKEECHOBEE BLVD
WEST PALM BEACH FL
33401-6349
US

IV. Provider business mailing address

901 S FLAGLER DR
WEST PALM BEACH FL
33401-6505
US

V. Phone/Fax

Practice location:
  • Phone: 951-551-4573
  • Fax:
Mailing address:
  • Phone: 561-803-2719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number22858
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number56248
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: