Healthcare Provider Details

I. General information

NPI: 1083997159
Provider Name (Legal Business Name): CHRISTOPHER L HOWARD RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2011
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 JUNGERMANN RD
SAINT PETERS MO
63304-2821
US

IV. Provider business mailing address

274 FOX RIDGE DR
SAINT CHARLES MO
63303-1726
US

V. Phone/Fax

Practice location:
  • Phone: 636-447-7740
  • Fax:
Mailing address:
  • Phone: 636-936-8858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2002028994
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: