Provider Demographics
NPI:1053496844
Name:SHAMBARGER, CHRISTOHPER D (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOHPER
Middle Name:D
Last Name:SHAMBARGER
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 1:6 MISTY MORNING DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1751
Mailing Address - Country:US
Mailing Address - Phone:603-425-6681
Mailing Address - Fax:
Practice Address - Street 1:1328 HOOKSETT RD
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1815
Practice Address - Country:US
Practice Address - Phone:603-518-9972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist