Provider Demographics
NPI:1174773691
Name:TEMPLETON, CHRISTOPHER RYAN (CPHT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 GIBSON AVE
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-5361
Mailing Address - Country:US
Mailing Address - Phone:843-238-5159
Mailing Address - Fax:843-238-8270
Practice Address - Street 1:1415 HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-6012
Practice Address - Country:US
Practice Address - Phone:843-238-5159
Practice Address - Fax:843-238-8270
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19870183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
320101050753673OtherPTCB
SC19870OtherSOUTH CAROLINA BOARD OF PHARMACY-PHARMACY TECHNICIAN REGISTRATION