Provider Demographics
NPI:1346635281
Name:DUNMIRE, CHRISTI ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:ANNE
Last Name:DUNMIRE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:ANNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:12303 DEPAUL DRIVE
Mailing Address - Street 2:PHARMACY
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-344-6150
Mailing Address - Fax:314-344-7481
Practice Address - Street 1:12303 DEPAUL DRIVE
Practice Address - Street 2:PHARMACY
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-344-6150
Practice Address - Fax:314-344-7481
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO045158183500000X, 1835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist