Provider Demographics
NPI:1679353577
Name:MILLER, CHRISTINA KARALIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KARALIS
Last Name:MILLER
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 1:200 STEVENS DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19113-1532
Mailing Address - Country:US
Mailing Address - Phone:888-349-0501
Mailing Address - Fax:
Practice Address - Street 1:200 STEVENS DR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19113-1532
Practice Address - Country:US
Practice Address - Phone:888-349-0501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist