Provider Demographics
NPI:1346632767
Name:MOORE, CHRISTINE MURPHY (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MURPHY
Last Name:MOORE
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 1:6661 PAXTON GUINEA RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-8137
Mailing Address - Country:US
Mailing Address - Phone:513-417-6735
Mailing Address - Fax:
Practice Address - Street 1:5705 S STATE ROUTE 48
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9798
Practice Address - Country:US
Practice Address - Phone:513-494-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-22
Last Update Date:2015-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist