Provider Demographics
NPI:1447382098
Name:COKER, CHRISTIE L (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:L
Last Name:COKER
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 1:9707 NASSAU LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2527
Mailing Address - Country:US
Mailing Address - Phone:301-754-1266
Mailing Address - Fax:301-681-6741
Practice Address - Street 1:9707 NASSAU LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2527
Practice Address - Country:US
Practice Address - Phone:301-754-1266
Practice Address - Fax:301-681-6741
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012256183500000X
MD18199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist