Provider Demographics
NPI:1851615637
Name:ANDREWS, CHRISTIE L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:L
Last Name:ANDREWS
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 1:1717 BLACK RIVER BLVD N
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2425
Mailing Address - Country:US
Mailing Address - Phone:315-339-0648
Mailing Address - Fax:315-337-5303
Practice Address - Street 1:1717 BLACK RIVER BLVD N
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2425
Practice Address - Country:US
Practice Address - Phone:315-339-0648
Practice Address - Fax:315-337-5303
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist