Provider Demographics
NPI:1477672525
Name:MCMANN, CHRISTIE LEA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:LEA
Last Name:MCMANN
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 1:2001 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVIS
Mailing Address - State:IL
Mailing Address - Zip Code:61282-2903
Mailing Address - Country:US
Mailing Address - Phone:309-792-1531
Mailing Address - Fax:309-792-1518
Practice Address - Street 1:2001 5TH ST
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-2903
Practice Address - Country:US
Practice Address - Phone:309-792-1531
Practice Address - Fax:309-792-1518
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist