Provider Demographics
NPI:1659693844
Name:VANHOVE, CHRIS A (RPH)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:VANHOVE
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 1:2840 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-9304
Mailing Address - Country:US
Mailing Address - Phone:480-832-3340
Mailing Address - Fax:480-641-9270
Practice Address - Street 1:2840 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-9304
Practice Address - Country:US
Practice Address - Phone:480-832-3340
Practice Address - Fax:480-641-9270
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist