Provider Demographics
NPI:1003220781
Name:ADAMS, CHRISTINA LAUREN (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LAUREN
Last Name:ADAMS
Suffix:
Gender:F
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:PO BOX 150507
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33915-0507
Mailing Address - Country:US
Mailing Address - Phone:239-896-0797
Mailing Address - Fax:866-342-4838
Practice Address - Street 1:7131 N US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-1215
Practice Address - Country:US
Practice Address - Phone:352-351-2477
Practice Address - Fax:352-351-4700
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS24464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist