Healthcare Provider Details

I. General information

NPI: 1104026087
Provider Name (Legal Business Name): CHRISTOPHER ALVIN PATTERSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 OCOEE ST
COPPERHILL TN
37317-4071
US

IV. Provider business mailing address

PO BOX 269
BENTON TN
37307-0269
US

V. Phone/Fax

Practice location:
  • Phone: 423-496-5241
  • Fax: 423-496-5240
Mailing address:
  • Phone: 423-338-5095
  • Fax: 423-338-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9761
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: