Provider Demographics
NPI:1073814075
Name:NANNEY, CHRISTI RENEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:RENEE
Last Name:NANNEY
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 1:1409 S ADAMS ST STE A
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MS
Mailing Address - Zip Code:38843-7629
Mailing Address - Country:US
Mailing Address - Phone:662-862-2141
Mailing Address - Fax:662-862-4546
Practice Address - Street 1:1409 S ADAMS ST STE A
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MS
Practice Address - Zip Code:38843-7629
Practice Address - Country:US
Practice Address - Phone:662-862-2141
Practice Address - Fax:662-862-4546
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE08808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist