Individual
RICHARD CARL CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, PHARMACY DEPARTMENT ROOM F6/133, MADISON, WI 53792-0001
(608) 263-1290
Mailing address
600 HIGHLAND AVE, PHARMACY DEPARTMENT ROOM F6/133, MADISON, WI 53792-0001
(608) 263-1290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8711-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8711-040
PHARMACIST
WI
Enumeration date
11/16/2007
Last updated
11/29/2007
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