Provider Demographics
NPI:1417253923
Name:WOODIS, CHRISTOPHER BROCK (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BROCK
Last Name:WOODIS
Suffix:
Gender:M
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DUKE FAMILY MEDICINE
Mailing Address - Street 2:2100 ERWIN ROAD, BOX 3886
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-2369
Mailing Address - Fax:
Practice Address - Street 1:DUKE FAMILY MEDICINE
Practice Address - Street 2:2100 ERWIN ROAD, BOX 3886
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC178141835P1200X
AL156791835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy