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NPI Code Detail

MEDICARE: MR. CHRISTOPHER JAY CHALFANT

MEDICARE: MR. CHRISTOPHER JAY CHALFANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12339OK

General Provider Information

NPI Number : 1750663753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER JAY CHALFANT
Provider Business Mailing Address
First Line : 14300 TEDESSA TURN
Second Line :
City : EDMOND
State : OK
Zip : 73034-2532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7101 W HEFNER RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-4503
Country : US
Telephone Number : 405-773-0711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “ MR. CHRISTOPHER JAY CHALFANT ” Practice Location

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