Provider Demographics
NPI:1710274832
Name:CHRISTOPHERSON, JAMES R (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:CHRISTOPHERSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:1370 HIGHWAY 15 S
Mailing Address - Street 2:HUTCHINSON
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-3801
Mailing Address - Country:US
Mailing Address - Phone:320-587-9576
Mailing Address - Fax:320-587-9576
Practice Address - Street 1:1370 HIGHWAY 15 S
Practice Address - Street 2:HUTCHINSON
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-3801
Practice Address - Country:US
Practice Address - Phone:320-587-9576
Practice Address - Fax:320-587-9576
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN111250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist