Provider Demographics
NPI:1710542865
Name:MAGGIORE, CHRISTY ROSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ROSE
Last Name:MAGGIORE
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 1:1516 SALAMANDER TRL
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32413-8411
Mailing Address - Country:US
Mailing Address - Phone:850-238-1727
Mailing Address - Fax:
Practice Address - Street 1:1516 SALAMANDER TRL
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32413-8411
Practice Address - Country:US
Practice Address - Phone:850-238-1727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS462401835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty