Provider Demographics
NPI:1831481266
Name:TRUSHEL, CHRISTINE LEE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LEE
Last Name:TRUSHEL
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 1:3545 BRIGHTWAY ST
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-4432
Mailing Address - Country:US
Mailing Address - Phone:304-797-1214
Mailing Address - Fax:
Practice Address - Street 1:126 12TH ST
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1572
Practice Address - Country:US
Practice Address - Phone:304-737-0205
Practice Address - Fax:304-737-1895
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist