Provider Demographics
NPI:1487026175
Name:ADAMS, CHRISTINA LYNNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LYNNE
Last Name:ADAMS
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 1:8225 DOLPHIN BAY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7109
Mailing Address - Country:US
Mailing Address - Phone:702-858-2638
Mailing Address - Fax:
Practice Address - Street 1:8225 DOLPHIN BAY CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7109
Practice Address - Country:US
Practice Address - Phone:702-858-2638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2021-09-13
Deactivation Date:2021-09-09
Deactivation Code:
Reactivation Date:2021-09-13
Provider Licenses
StateLicense IDTaxonomies
NV17876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist