Provider Demographics
NPI:1245834357
Name:ASAMAH, CHRISTIAN IMHOELIYE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:IMHOELIYE
Last Name:ASAMAH
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 1:5440 ATASCOCITA RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2839
Mailing Address - Country:US
Mailing Address - Phone:281-812-4377
Mailing Address - Fax:
Practice Address - Street 1:5440 ATASCOCITA RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2839
Practice Address - Country:US
Practice Address - Phone:281-812-4377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64650183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist