Provider Demographics
NPI:1578848743
Name:CUTRER, CHRISTOPHER HARRIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HARRIS
Last Name:CUTRER
Suffix:
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:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:GORMAN
Mailing Address - State:TX
Mailing Address - Zip Code:76454-0608
Mailing Address - Country:US
Mailing Address - Phone:254-734-2859
Mailing Address - Fax:254-734-2859
Practice Address - Street 1:117 S KENT ST
Practice Address - Street 2:
Practice Address - City:GORMAN
Practice Address - State:TX
Practice Address - Zip Code:76454-3060
Practice Address - Country:US
Practice Address - Phone:254-734-2859
Practice Address - Fax:254-734-2859
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist