Provider Demographics
NPI:1932408846
Name:MAKSYM, CHRISTOPHER J (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:MAKSYM
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 S. INDUSTRIAL HWY., SUITE 50
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-9821
Mailing Address - Country:US
Mailing Address - Phone:734-975-7406
Mailing Address - Fax:734-975-3079
Practice Address - Street 1:2850 S INDUSTRIAL HWY STE 50
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6792
Practice Address - Country:US
Practice Address - Phone:734-975-7406
Practice Address - Fax:734-975-3079
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist