Provider Demographics
NPI:1871181016
Name:CHRISTIAN, ROB (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:
Last Name:CHRISTIAN
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 1:15 RED CEDAR CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3324
Mailing Address - Country:US
Mailing Address - Phone:501-351-4306
Mailing Address - Fax:
Practice Address - Street 1:15 RED CEDAR CV
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-3324
Practice Address - Country:US
Practice Address - Phone:501-351-4306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist