Provider Demographics
NPI:1760797989
Name:KLEMM, CHRISTINA A (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:A
Last Name:KLEMM
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 1:3901 W INA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2206
Mailing Address - Country:US
Mailing Address - Phone:520-918-3602
Mailing Address - Fax:
Practice Address - Street 1:3901 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2206
Practice Address - Country:US
Practice Address - Phone:520-918-3602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist