Provider Demographics
NPI:1184994592
Name:MCLAURIN, CHRISTOPHER GREGORY (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GREGORY
Last Name:MCLAURIN
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 1:9 RIVER BEND PL
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9529
Mailing Address - Country:US
Mailing Address - Phone:601-932-2773
Mailing Address - Fax:601-932-0483
Practice Address - Street 1:9 RIVER BEND PL
Practice Address - Street 2:SUITE 120
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9529
Practice Address - Country:US
Practice Address - Phone:601-932-2773
Practice Address - Fax:601-932-0483
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE08917183500000X
IL051.293847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist