Healthcare Provider Details

I. General information

NPI: 1497208615
Provider Name (Legal Business Name): CHRISTOPHER COLEMAN INMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 E 5TH ST
TABOR CITY NC
28463-2200
US

IV. Provider business mailing address

275 WILD LIFE CLUB RD
TABOR CITY NC
28463-8499
US

V. Phone/Fax

Practice location:
  • Phone: 910-653-3562
  • Fax:
Mailing address:
  • Phone: 910-840-2915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25919
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: