Provider Demographics
NPI:1558144162
Name:MCGINNIS, CHRISTINA
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7148 ARCADIA CIR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:MD
Mailing Address - Zip Code:21841-2109
Mailing Address - Country:US
Mailing Address - Phone:302-893-7621
Mailing Address - Fax:
Practice Address - Street 1:10119 OLD OCEAN CITY BLVD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1143
Practice Address - Country:US
Practice Address - Phone:410-629-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician