Christopher Drew Waller, is a
Pharmacist based in Fort Gay, West Virginia. Christopher Drew Waller is licensed to practice in Kentucky (license number 017245) and his current practice location is
18586 Route 52, Fort Gay, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 617-2242.
NPI number for Christopher Drew Waller is 1114361938 and his current mailing address is 18586 Route 52, Fort Gay, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114361938.
Healthcare Provider's Profile
| Full Name | Christopher Drew Waller |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 18586 Route 52, Fort Gay, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114361938
- Provider Enumeration Date: 04/23/2013
- Last Update Date: 09/15/2014
Medical Identifiers
Medical identifiers for Christopher Drew Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114361938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 017245 (Kentucky) | Primary |
| 183500000X | Pharmacist | 03234139 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Drew Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christopher Drew Waller,
18586 Route 52,
Fort Gay, WV 25514-7046
Ph: (304) 617-2242 | Christopher Drew Waller,
18586 Route 52,
Fort Gay, WV 25514-7046
Ph: (304) 617-2242 |
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