Christine Mitry, RPH
Pharmacist in Clayton, CA. Individual provider (NPI-1).
NPI number1306309489
StatusActive
Last updated in NPPESApr 7, 2019
Details
- NPI
- 1306309489
- Entity type
- Individual (NPI-1)
- Name
- Christine Mitry
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2019
- Last updated
- Apr 7, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 074740 | CA | Yes |
Practice location
6490 Clayton RdClayton, CA 94517-1153
Phone 925-673-2803 · Fax 925-673-5530
Mailing address
105 Fresco CtBrentwood, CA 94513-4268
Phone 925-690-7793
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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