Provider Demographics
NPI:1861687782
Name:MALATI, CHRISTINE Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:Y
Last Name:MALATI
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 1:1300 PENNSYLVANIA AVE NW
Mailing Address - Street 2:RRB, ROOM 5.6-165
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-3002
Mailing Address - Country:US
Mailing Address - Phone:202-712-0605
Mailing Address - Fax:
Practice Address - Street 1:1300 PENNSYLVANIA AVE NW
Practice Address - Street 2:ROOM 5.6.165
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-3002
Practice Address - Country:US
Practice Address - Phone:202-712-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03163100183500000X
VA0202208384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist