Provider Demographics
NPI:1679594147
Name:DARLING, CHRISTOPHER BRUCE (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRUCE
Last Name:DARLING
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 1:217 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2912
Mailing Address - Country:US
Mailing Address - Phone:814-726-0994
Mailing Address - Fax:
Practice Address - Street 1:212 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2347
Practice Address - Country:US
Practice Address - Phone:814-723-1743
Practice Address - Fax:814-726-7876
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist