Provider Demographics
NPI:1326621376
Name:KALAS, CHRISTOPHER VINCENT (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VINCENT
Last Name:KALAS
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 1:16 NEW SCOTLAND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3792
Mailing Address - Country:US
Mailing Address - Phone:518-434-0677
Mailing Address - Fax:518-427-5881
Practice Address - Street 1:16 NEW SCOTLAND AVE STE 1
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3792
Practice Address - Country:US
Practice Address - Phone:518-434-0677
Practice Address - Fax:518-427-5881
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty