Provider Demographics
NPI:1437335684
Name:WHITE, CHRISTINA A (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:A
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:RECORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MBA
Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:DEPARTMENT 119
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:317-988-2946
Mailing Address - Fax:317-988-5307
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:DEPARTMENT 119
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-2946
Practice Address - Fax:317-988-5307
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022468A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist