Provider Demographics
NPI:1255624805
Name:ISHERWOOD, CHRISTOPHER WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:ISHERWOOD
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 1:5 ODELL PLZ
Mailing Address - Street 2:SUITE 141
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1406
Mailing Address - Country:US
Mailing Address - Phone:914-375-4300
Mailing Address - Fax:
Practice Address - Street 1:5 ODELL PLZ
Practice Address - Street 2:SUITE 141
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1406
Practice Address - Country:US
Practice Address - Phone:914-375-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055583-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist