Provider Demographics
NPI:1619086972
Name:GOODMAN, CHRISTINE SLOOP (RPH, CPP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SLOOP
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:RPH, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 HANKS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-9799
Mailing Address - Country:US
Mailing Address - Phone:919-966-6554
Mailing Address - Fax:919-966-6431
Practice Address - Street 1:UNC CAMPUS HEALTH
Practice Address - Street 2:JAMES A TAYLOR BUILDING CB#7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-2281
Practice Address - Fax:919-966-6431
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist