Provider Demographics
NPI:1720276181
Name:CHRISTOPHE, ADAM DANIEL (PHARMD, RPH, CDE)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DANIEL
Last Name:CHRISTOPHE
Suffix:
Gender:M
Credentials:PHARMD, RPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 PUTNEY RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-7169
Mailing Address - Country:US
Mailing Address - Phone:802-257-5592
Mailing Address - Fax:
Practice Address - Street 1:896 PUTNEY RD
Practice Address - Street 2:SUITE 6
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-7169
Practice Address - Country:US
Practice Address - Phone:802-257-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR2283183500000X
MAPH233497183500000X
PARP-439261183500000X
VT033.0076653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist