Provider Demographics
NPI:1043265010
Name:GROKE, CHRISTOPHER V (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:V
Last Name:GROKE
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 MOORES XING
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3531
Mailing Address - Country:US
Mailing Address - Phone:864-587-6838
Mailing Address - Fax:864-583-8193
Practice Address - Street 1:391 SERPENTINE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3096
Practice Address - Country:US
Practice Address - Phone:864-583-8190
Practice Address - Fax:864-583-8193
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71421835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy