Provider Demographics
NPI:1487935425
Name:HENSLEY, CHRISTOPHER D (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:HENSLEY
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 1:3670 CHEYENNE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-2082
Mailing Address - Country:US
Mailing Address - Phone:812-375-2930
Mailing Address - Fax:
Practice Address - Street 1:2140 W JONATHAN MOORE PIKE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-9455
Practice Address - Country:US
Practice Address - Phone:812-378-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017947A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist