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General NPI Number Information
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NPI Number | 1487904942
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL FRAZER PHARMD, BCACP
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Gender | Male
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 12/01/2024
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Provider Practice Location Address
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Address Line | 3500 TOWER AVE STE A
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City | SUPERIOR
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State | WI
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Zip | 54880-4685
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Country | US
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Telephone | 715-817-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 211 MAPLE GROVE RD
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City | DULUTH
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State | MN
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Zip | 55811-4726
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Country | US
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Telephone | 218-310-6217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 16780-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 5302042469
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 126756
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 16780-40
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License Number State | WI
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