Provider Demographics
NPI:1407067812
Name:ALTEMUS, CHRISTINE ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANN
Last Name:ALTEMUS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:ANN
Other - Last Name:DUBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:394 TRAILSEND DR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-2246
Mailing Address - Country:US
Mailing Address - Phone:860-489-7821
Mailing Address - Fax:860-489-7821
Practice Address - Street 1:394 TRAILSEND DR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-2246
Practice Address - Country:US
Practice Address - Phone:860-489-7821
Practice Address - Fax:860-489-7821
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist