Provider Demographics
NPI:1700519253
Name:CHRIS SPECIALTY PHARMACY AND HOME DELIVERY
Entity type:Organization
Organization Name:CHRIS SPECIALTY PHARMACY AND HOME DELIVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:BONNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:662-242-1968
Mailing Address - Street 1:115B ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-5220
Mailing Address - Country:US
Mailing Address - Phone:662-798-0062
Mailing Address - Fax:662-798-0060
Practice Address - Street 1:115B ALABAMA ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-5220
Practice Address - Country:US
Practice Address - Phone:662-798-0062
Practice Address - Fax:662-798-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty