Healthcare Provider Details

I. General information

NPI: 1396092136
Provider Name (Legal Business Name): CHRISTOPHER R HUDSON PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2012
Last Update Date: 02/02/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

752 ROUTE 202
RINDGE NH
03461
US

IV. Provider business mailing address

752 ROUTE 202
RINDGE NH
03461-1799
US

V. Phone/Fax

Practice location:
  • Phone: 603-899-2115
  • Fax:
Mailing address:
  • Phone: 603-899-2115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3845
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: