Provider Demographics
NPI:1346363728
Name:FROMAN, CHRISTOPHER A (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:FROMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4311 GLEN EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4833
Mailing Address - Country:US
Mailing Address - Phone:573-445-3764
Mailing Address - Fax:660-385-5397
Practice Address - Street 1:1105 N RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MO
Practice Address - Zip Code:63552-2018
Practice Address - Country:US
Practice Address - Phone:660-385-2147
Practice Address - Fax:660-385-5397
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist