Provider Demographics
NPI:1891302857
Name:VOUGHT, CHRISTOPHER HAMILTON (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HAMILTON
Last Name:VOUGHT
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 1:3346 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5319
Mailing Address - Country:US
Mailing Address - Phone:256-616-7396
Mailing Address - Fax:
Practice Address - Street 1:3201 ENDEAVOR LN
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-8250
Practice Address - Country:US
Practice Address - Phone:205-967-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist