Provider Demographics
NPI:1568520229
Name:GLASHAUSER, CHRISTINA YVONNE (CPHT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:YVONNE
Last Name:GLASHAUSER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 COUNTY ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:NY
Mailing Address - Zip Code:14801-9790
Mailing Address - Country:US
Mailing Address - Phone:607-329-2217
Mailing Address - Fax:
Practice Address - Street 1:26 W MARKET ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2617
Practice Address - Country:US
Practice Address - Phone:607-936-7023
Practice Address - Fax:607-936-7026
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22011020352728183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician