Provider Demographics
NPI:1467732008
Name:CARTER, CHRISTOPHER LLOYD
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LLOYD
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WILD ROSE DR
Mailing Address - Street 2:APT #4
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1485
Mailing Address - Country:US
Mailing Address - Phone:518-593-8361
Mailing Address - Fax:
Practice Address - Street 1:437 WILSON ST
Practice Address - Street 2:WALGREENS
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1414
Practice Address - Country:US
Practice Address - Phone:207-991-9679
Practice Address - Fax:207-991-9723
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist