Provider Demographics
NPI:1740562438
Name:BOTTS, CHRISTINA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:BOTTS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29996 PERSIMMON DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5100
Mailing Address - Country:US
Mailing Address - Phone:440-781-6628
Mailing Address - Fax:
Practice Address - Street 1:33760 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-3255
Practice Address - Country:US
Practice Address - Phone:440-327-1330
Practice Address - Fax:440-327-1471
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist