Provider Demographics
NPI:1437487378
Name:BURK, CHRISTA FLOYD (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:FLOYD
Last Name:BURK
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 1:610 E VILLA MARIA RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-5335
Mailing Address - Country:US
Mailing Address - Phone:979-779-2006
Mailing Address - Fax:979-779-2099
Practice Address - Street 1:610 E VILLA MARIA RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-5335
Practice Address - Country:US
Practice Address - Phone:979-779-2006
Practice Address - Fax:979-779-2099
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist