Provider Demographics
NPI:1518086008
Name:CHRISCOE, HENRY FRANKLIN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:FRANKLIN
Last Name:CHRISCOE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 CAPRICE LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9234
Mailing Address - Country:US
Mailing Address - Phone:336-227-2159
Mailing Address - Fax:
Practice Address - Street 1:138 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5847
Practice Address - Country:US
Practice Address - Phone:336-226-1663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist