Individual
DR. CHRISTOPHER RYAN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3800 MARKET ST, PASCAGOULA, MS 39567-3036
(228) 202-8215
Mailing address
71180 DUNDEE ST, ABITA SPRINGS, LA 70420-3818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11777
MS
183500000X
Pharmacist
PST.019571
LA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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