Provider Demographics
NPI:1326399197
Name:GRIFFEE, CHRIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:GRIFFEE
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 1:13025 W ASTER DR
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-2231
Mailing Address - Country:US
Mailing Address - Phone:623-332-3414
Mailing Address - Fax:
Practice Address - Street 1:13982 W WADDELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-8737
Practice Address - Country:US
Practice Address - Phone:623-537-9663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist