Provider Demographics
NPI:1376145169
Name:BILLMAN, CHRIS JAMES (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:JAMES
Last Name:BILLMAN
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 1:19225 NW US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-8784
Mailing Address - Country:US
Mailing Address - Phone:386-454-3334
Mailing Address - Fax:386-454-7756
Practice Address - Street 1:19225 NW US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-8784
Practice Address - Country:US
Practice Address - Phone:386-454-3334
Practice Address - Fax:386-454-7756
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist