Provider Demographics
NPI:1902132855
Name:WALDAPFEL, CHRISTOPHER CARL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARL
Last Name:WALDAPFEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4395 PIEDMONT AVE
Mailing Address - Street 2:SUITE #207
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4780
Mailing Address - Country:US
Mailing Address - Phone:510-499-1199
Mailing Address - Fax:
Practice Address - Street 1:4395 PIEDMONT AVE
Practice Address - Street 2:SUITE #207
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4780
Practice Address - Country:US
Practice Address - Phone:510-499-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA632721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy