Brandon Christen
Individual provider Active NPI Pharmacist · Marysville, OH
NPI 1003689902 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1003689902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03443656 (OH)
- Practice address
- 969 W 5TH St
Marysville, OH 43040-1070 - Phone
- (937) 644-3615
- Fax
- (937) 642-0789
- NPI assigned
- Nov 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03443656 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03443656 | OH | Yes |
Addresses
Primary practice location
969 W 5TH St
Marysville, OH 43040-1070
Mailing address
969 W 5TH St
Marysville, OH 43040-1070
Phone (937) 644-3615
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.