Provider Demographics
NPI:1043807993
Name:CASTANOU, CHRISTIAN (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:CASTANOU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6637 ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3002
Mailing Address - Country:US
Mailing Address - Phone:703-538-6926
Mailing Address - Fax:703-538-5679
Practice Address - Street 1:6637 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3002
Practice Address - Country:US
Practice Address - Phone:703-538-6926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202013004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist