Provider Demographics
NPI:1326487398
Name:PERLING, CHRISTOPHER JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:PERLING
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 1:2115 E MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1341
Mailing Address - Country:US
Mailing Address - Phone:512-643-0999
Mailing Address - Fax:
Practice Address - Street 1:1909 E 38TH 1/2 ST STE C2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5749
Practice Address - Country:US
Practice Address - Phone:512-643-0999
Practice Address - Fax:512-643-4074
Is Sole Proprietor?:No
Enumeration Date:2013-06-22
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist