Provider Demographics
NPI:1417246703
Name:PERRY, CHRIS D (RP)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:D
Last Name:PERRY
Suffix:
Gender:M
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 S CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3600
Mailing Address - Country:US
Mailing Address - Phone:610-821-7999
Mailing Address - Fax:610-821-8191
Practice Address - Street 1:361 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3600
Practice Address - Country:US
Practice Address - Phone:610-821-7999
Practice Address - Fax:610-821-8191
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035641R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist