Provider Demographics
NPI:1790837292
Name:LEMON, CHRIS C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:C
Last Name:LEMON
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 1:700 EAST ALICE
Mailing Address - Street 2:STATE HOSPITAL SOUTH
Mailing Address - City:BLACKFOOT
Mailing Address - State:ID
Mailing Address - Zip Code:83221-0400
Mailing Address - Country:US
Mailing Address - Phone:208-785-8505
Mailing Address - Fax:
Practice Address - Street 1:700 EAST ALICE
Practice Address - Street 2:STATE HOSPITAL SOUTH
Practice Address - City:BLACKFOOT
Practice Address - State:ID
Practice Address - Zip Code:83221-0400
Practice Address - Country:US
Practice Address - Phone:208-785-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist