Christian Robert Dolder Jr., PHARMD

Individual provider Active NPI Pharmacotherapy Pharmacist · Mather, CA

NPI 1629316690 · NPPES record last updated Jan 24, 2013

Key facts

NPI
1629316690
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
51084 (CA)
Practice address
10535 Hospital Way
Mather, CA 95655-4200
Phone
(800) 382-8387
NPI assigned
Jan 24, 2013
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
51084CAMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 51084 CA Yes

Addresses

Primary practice location

10535 Hospital Way
Mather, CA 95655-4200

Mailing address

10535 Hospital Way
Mather, CA 95655-4200

Other providers in Mather, CA

All providers in Mather, CA · Pharmacotherapy Pharmacist in California

Sources for this page

Verify at the official NPI Registry.