Provider Demographics
NPI:1265035133
Name:DANG, CHRISTINA PHAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:PHAM
Last Name:DANG
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 1:6 PAMELA DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6023
Mailing Address - Country:US
Mailing Address - Phone:603-294-3139
Mailing Address - Fax:
Practice Address - Street 1:1450 GREENLAND RD
Practice Address - Street 2:
Practice Address - City:GREENLAND
Practice Address - State:NH
Practice Address - Zip Code:03840-2438
Practice Address - Country:US
Practice Address - Phone:603-501-1471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist