Provider Demographics
NPI:1225120025
Name:CASTAGNA, CHRIS MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:MICHAEL
Last Name:CASTAGNA
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 1:407 DENOW RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1930
Mailing Address - Country:US
Mailing Address - Phone:609-730-1047
Mailing Address - Fax:
Practice Address - Street 1:94 FLOCK RD
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1471
Practice Address - Country:US
Practice Address - Phone:096-587-1850
Practice Address - Fax:609-587-1852
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01932800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist