Provider Demographics
NPI:1487921458
Name:LITTLEJOHN, MARK A (PHARM D)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:A
Last Name:LITTLEJOHN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 DANA DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-4038
Mailing Address - Country:US
Mailing Address - Phone:530-224-1437
Mailing Address - Fax:
Practice Address - Street 1:1280 DANA DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4038
Practice Address - Country:US
Practice Address - Phone:530-224-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist