MEDICARE: CHRISTOPHER GARDIPEE PHARMD

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
1	183500000X	Pharmacist	18375-40	WI

General Provider Information

NPI Number	:	1780206896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER GARDIPEE PHARMD

Provider Business Mailing Address
First Line	:	1629 S MAIN ST
Second Line	:
City	:	WEST BEND
State	:	WI
Zip	:	53095-4935
Country	:	US
Telephone Number	:	262-335-2292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1629 S MAIN ST
Second Line	:
City	:	WEST BEND
State	:	WI
Zip	:	53095-4935
Country	:	US
Telephone Number	:	262-335-2292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2020
Last Update Date	:	05/12/2020

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Directions to “ CHRISTOPHER GARDIPEE PHARMD” Practice Location

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