Provider Demographics
NPI:1194231282
Name:KHOURY-DENNIS, CHRISTY LENA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:LENA
Last Name:KHOURY-DENNIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4506 HARVEY PENICK DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6143
Mailing Address - Country:US
Mailing Address - Phone:817-800-6426
Mailing Address - Fax:
Practice Address - Street 1:4506 HARVEY PENICK DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6143
Practice Address - Country:US
Practice Address - Phone:817-800-6426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist