Provider Demographics
NPI:1710606827
Name:HERNANDEZ LEBRON, CRISTINA DEL MAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:DEL MAR
Last Name:HERNANDEZ LEBRON
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 1:4635 DUNCASTLE RD APT 2C
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1625
Mailing Address - Country:US
Mailing Address - Phone:787-517-3025
Mailing Address - Fax:
Practice Address - Street 1:230 COLE AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2548
Practice Address - Country:US
Practice Address - Phone:910-875-8501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist