Provider Demographics
NPI:1386764108
Name:DIXON, CHRISTOPHER THAD (RPH)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:THAD
Last Name:DIXON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 WOODBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5414
Mailing Address - Country:US
Mailing Address - Phone:252-633-3143
Mailing Address - Fax:910-298-3091
Practice Address - Street 1:114 CROSSOVER RD
Practice Address - Street 2:
Practice Address - City:BEULAVILLE
Practice Address - State:NC
Practice Address - Zip Code:28518-8800
Practice Address - Country:US
Practice Address - Phone:910-298-3093
Practice Address - Fax:910-298-3091
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist