Provider Demographics
NPI:1124647995
Name:CALDERON, CHRISTIAN (PHARMD, CPH)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:CALDERON
Suffix:
Gender:M
Credentials:PHARMD, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4337 NW 29TH WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-1521
Mailing Address - Country:US
Mailing Address - Phone:352-502-9251
Mailing Address - Fax:
Practice Address - Street 1:4337 NW 29TH WAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-1521
Practice Address - Country:US
Practice Address - Phone:352-502-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS537451835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy