Provider Demographics
NPI:1881648657
Name:MENY, CHRISTOPHER EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:MENY
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 1:4000 TOWN CTR STE 1300
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1409
Mailing Address - Country:US
Mailing Address - Phone:248-663-7370
Mailing Address - Fax:844-214-2466
Practice Address - Street 1:100 GALLERIA OFFICENTRE
Practice Address - Street 2:SUITE 210
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-4780
Practice Address - Country:US
Practice Address - Phone:248-663-7370
Practice Address - Fax:844-214-2466
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290624183500000X
MI5302031399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist