Provider Demographics
NPI:1417239989
Name:RAGAN, CHRISTOPHER PATRICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PATRICK
Last Name:RAGAN
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 1:3007 WHITEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2931
Mailing Address - Country:US
Mailing Address - Phone:502-714-9769
Mailing Address - Fax:502-508-7997
Practice Address - Street 1:515 W MARKET ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3388
Practice Address - Country:US
Practice Address - Phone:502-476-8119
Practice Address - Fax:502-508-7997
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist