Provider Demographics
NPI:1730462474
Name:MEADOR, CHRISTINE E (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:MEADOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 SW WALDEN DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2244
Mailing Address - Country:US
Mailing Address - Phone:816-246-1017
Mailing Address - Fax:
Practice Address - Street 1:330 SW WARD RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2445
Practice Address - Country:US
Practice Address - Phone:816-246-7732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO040852183500000X
KS1-10464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist