Provider Demographics
NPI:1346524931
Name:CASTILLO, CHRIS BENITO (RPH, PHARMD)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:BENITO
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 PUMPING STATION RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-2535
Mailing Address - Country:US
Mailing Address - Phone:860-618-0797
Mailing Address - Fax:
Practice Address - Street 1:102 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-1826
Practice Address - Country:US
Practice Address - Phone:860-826-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-01
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist