Provider Demographics
NPI:1194553420
Name:COMBS, CHRISTOPHER (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:COMBS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-0115
Mailing Address - Country:US
Mailing Address - Phone:530-570-5027
Mailing Address - Fax:
Practice Address - Street 1:8690 DURNEL DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:CA
Practice Address - Zip Code:95938-9771
Practice Address - Country:US
Practice Address - Phone:530-570-5027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist