=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750987525
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTOPHER J SAVELL
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2020
-----------------------------------------------------
Last Update Date | 12/08/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 616 WHITE HORSE PIKE
-----------------------------------------------------
City | ABSECON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08201-2302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-646-0444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1100 PLYMOUTH LANDING RD
-----------------------------------------------------
City | ABSECON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08201-9704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-402-1809
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28RI02648600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------