Provider Demographics
NPI:1073899902
Name:HOLTZER, CHRISTOPHER DALE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DALE
Last Name:HOLTZER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SAN FRANCISCO BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-1625
Mailing Address - Country:US
Mailing Address - Phone:415-295-7711
Mailing Address - Fax:415-295-7711
Practice Address - Street 1:210 SAN FRANCISCO BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-1625
Practice Address - Country:US
Practice Address - Phone:415-295-7711
Practice Address - Fax:415-295-7711
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482161835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy