Provider Demographics
NPI:1821798059
Name:LOVE, CHRISTINA KAY (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KAY
Last Name:LOVE
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 1:417 W ROCK ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BOYD
Mailing Address - State:TX
Mailing Address - Zip Code:76023-3103
Mailing Address - Country:US
Mailing Address - Phone:940-433-8056
Mailing Address - Fax:
Practice Address - Street 1:417 W ROCK ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BOYD
Practice Address - State:TX
Practice Address - Zip Code:76023-3103
Practice Address - Country:US
Practice Address - Phone:940-433-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist