Provider Demographics
NPI:1295334423
Name:SPOO, CHRISTIAN L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:L
Last Name:SPOO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SPINNAKER RUN CT
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-5620
Mailing Address - Country:US
Mailing Address - Phone:757-508-6399
Mailing Address - Fax:
Practice Address - Street 1:6500 GEORGE WASHINGTON MEM HWY STE C
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:VA
Practice Address - Zip Code:23692-2128
Practice Address - Country:US
Practice Address - Phone:757-947-1244
Practice Address - Fax:757-947-1247
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist