Provider Demographics
NPI:1205355914
Name:SKALA, CHRISTIAN JAMES (RPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JAMES
Last Name:SKALA
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 1:8122 NATURES WAY UNIT 34
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4118
Mailing Address - Country:US
Mailing Address - Phone:239-810-1700
Mailing Address - Fax:
Practice Address - Street 1:11205 E STATE ROAD 70
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-9404
Practice Address - Country:US
Practice Address - Phone:941-727-4962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist