Healthcare Provider Details

I. General information

NPI: 1194337709
Provider Name (Legal Business Name): AUSTIN CHRISTOPHER CREITH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 CHAMPION DR
CANTON NC
28716-6031
US

IV. Provider business mailing address

1465 CHAMPION DR
CANTON NC
28716-6031
US

V. Phone/Fax

Practice location:
  • Phone: 828-235-2795
  • Fax: 828-235-8276
Mailing address:
  • Phone: 828-235-2795
  • Fax: 828-235-8276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44495
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31151
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: