Provider Demographics
NPI:1083186035
Name:NGATCHOU, CHRISTELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTELLE
Middle Name:
Last Name:NGATCHOU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21320 VILLAGE GREEN CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6950
Mailing Address - Country:US
Mailing Address - Phone:240-750-7787
Mailing Address - Fax:
Practice Address - Street 1:11200 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1903
Practice Address - Country:US
Practice Address - Phone:410-654-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26279333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy