Christopher Tolliver
Individual provider Active NPI Pharmacist · Mayodan, NC
NPI 1174204705 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1174204705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 32352 (NC)
- Practice address
- 6711 NC Highway 135
Mayodan, NC 27027-8487 - Phone
- (336) 548-6832
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 32352 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32352 | NC | Yes |
Addresses
Primary practice location
6711 NC Highway 135
Mayodan, NC 27027-8487
Mailing address
5515 Lazy Creek LN
Summerfield, NC 27358-9267
Other providers in Mayodan, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 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.