Provider Demographics
NPI:1740905306
Name:SOKACZ, CHRISTIAN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:SOKACZ
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 1:50680 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3107
Mailing Address - Country:US
Mailing Address - Phone:586-323-8270
Mailing Address - Fax:
Practice Address - Street 1:50680 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-3107
Practice Address - Country:US
Practice Address - Phone:586-323-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist