Provider Demographics
NPI:1376879395
Name:BURCH, CHRISTINE FARKAS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:FARKAS
Last Name:BURCH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 UNIONVILLE INDIAN TRL RD W
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-6753
Mailing Address - Country:US
Mailing Address - Phone:704-668-9742
Mailing Address - Fax:
Practice Address - Street 1:3251 FREEDOM DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2816
Practice Address - Country:US
Practice Address - Phone:704-399-3955
Practice Address - Fax:704-399-4307
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist