Provider Demographics
NPI:1578830162
Name:TRUJILLO, CHRIS JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:JOHN
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EUBANK BLVD SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-3338
Mailing Address - Country:US
Mailing Address - Phone:505-332-6602
Mailing Address - Fax:505-332-6609
Practice Address - Street 1:500 EUBANK BLVD SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-3338
Practice Address - Country:US
Practice Address - Phone:505-332-6602
Practice Address - Fax:505-332-6609
Is Sole Proprietor?:No
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist