Provider Demographics
NPI:1831704097
Name:NALEPA, CHRISTOPHER RICHARD (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RICHARD
Last Name:NALEPA
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 1:20 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901-0600
Mailing Address - Country:US
Mailing Address - Phone:207-872-7979
Mailing Address - Fax:207-872-7922
Practice Address - Street 1:20 GARLAND RD
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901-0600
Practice Address - Country:US
Practice Address - Phone:207-872-7979
Practice Address - Fax:207-872-7922
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR30647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty