MEDICARE: CHRISTOPEHR R DION RPH

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	15759	NC

General Provider Information

NPI Number	:	1780969402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPEHR R DION RPH

Provider Business Mailing Address
First Line	:	1225 WAYNEWOOD DR
Second Line	:
City	:	WAXHAW
State	:	NC
Zip	:	28173-7947
Country	:	US
Telephone Number	:	704-668-8559
Fax Number	:

Provider Business Practice Location Address
First Line	:	5455 POTTERS RD
Second Line	:
City	:	STALLINGS
State	:	NC
Zip	:	28104-5990
Country	:	US
Telephone Number	:	704-821-0411
Fax Number	:

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

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	10/13/2011

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