Provider Demographics
NPI:1760710123
Name:WARE, CHRISTY MALIA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:MALIA
Last Name:WARE
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 1:3412 WICHITA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6333
Mailing Address - Country:US
Mailing Address - Phone:713-522-8667
Mailing Address - Fax:
Practice Address - Street 1:5202 ALMEDA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5909
Practice Address - Country:US
Practice Address - Phone:713-529-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist