Provider Demographics
NPI:1083201750
Name:AGU, CHRISTOPHER CHUKWUMA
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CHUKWUMA
Last Name:AGU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SPARTANBURG HWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-6530
Mailing Address - Country:US
Mailing Address - Phone:828-693-7244
Mailing Address - Fax:
Practice Address - Street 1:2001 SPARTANBURG HWY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6530
Practice Address - Country:US
Practice Address - Phone:828-693-7244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist