Provider Demographics
NPI:1548542517
Name:FOUTS, CHRISTOPHER DUANE (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DUANE
Last Name:FOUTS
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 1:100 N MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-4915
Mailing Address - Country:US
Mailing Address - Phone:765-521-0189
Mailing Address - Fax:
Practice Address - Street 1:311 N HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1303
Practice Address - Country:US
Practice Address - Phone:913-294-3516
Practice Address - Fax:913-294-8411
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017933A183500000X
KS1-120778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1-120788OtherKANSAS BOARD OF PHARMACY
IN26017933AOtherINDIANA BOARD OF PHARMACY