Provider Demographics
NPI:1407327380
Name:FIELDS, CHRISTINA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:JEAN
Last Name:FIELDS
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 1:692 SABATTUS ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-3839
Mailing Address - Country:US
Mailing Address - Phone:077-860-1222
Mailing Address - Fax:207-786-6091
Practice Address - Street 1:692 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3839
Practice Address - Country:US
Practice Address - Phone:207-786-0122
Practice Address - Fax:207-786-6091
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR68635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist