Provider Demographics
NPI:1508172685
Name:DOOLEY, CHRISTOPHER DEAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DEAN
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:DOOLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:2811 ROLAND RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-6225
Mailing Address - Country:US
Mailing Address - Phone:336-316-0604
Mailing Address - Fax:336-316-0604
Practice Address - Street 1:4701 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1233
Practice Address - Country:US
Practice Address - Phone:336-854-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist