Provider Demographics
NPI:1316019425
Name:GRIFFIN, CHRISTINA A (BS PHARM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8096 TOWNSHIP ROAD 90
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OH
Mailing Address - Zip Code:45810-9728
Mailing Address - Country:US
Mailing Address - Phone:419-673-9457
Mailing Address - Fax:
Practice Address - Street 1:1415 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3168
Practice Address - Country:US
Practice Address - Phone:419-228-2296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-23993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist