Provider Demographics
NPI:1649565508
Name:NEVE, CHRISTINA P (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:P
Last Name:NEVE
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 1:1441 CORAL RIDGE AVE
Mailing Address - Street 2:T1113
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2801
Mailing Address - Country:US
Mailing Address - Phone:319-248-1080
Mailing Address - Fax:319-248-1081
Practice Address - Street 1:1441 CORAL RIDGE AVE
Practice Address - Street 2:T1113
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2801
Practice Address - Country:US
Practice Address - Phone:319-248-1080
Practice Address - Fax:319-248-1081
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist