Provider Demographics
NPI:1255301438
Name:PARKER, CHRISTY AMOS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:AMOS
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3697 HIGHWAY 5
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-6901
Mailing Address - Country:US
Mailing Address - Phone:678-501-5165
Mailing Address - Fax:
Practice Address - Street 1:3697 HIGHWAY 5
Practice Address - Street 2:SUITE 6
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-6901
Practice Address - Country:US
Practice Address - Phone:678-501-5165
Practice Address - Fax:678-501-5170
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17705183500000X
GARPH024190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist