Provider Demographics
NPI:1376893248
Name:HARMUTH, CHRISTIAN JAMES (RPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JAMES
Last Name:HARMUTH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 HOOKER AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4613
Mailing Address - Country:US
Mailing Address - Phone:845-473-7970
Mailing Address - Fax:
Practice Address - Street 1:4170 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-1762
Practice Address - Country:US
Practice Address - Phone:845-229-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist