Provider Demographics
NPI:1861832024
Name:SITLER LEED, CHRISTINA (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SITLER LEED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:SITLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:334 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-1448
Mailing Address - Country:US
Mailing Address - Phone:717-336-2292
Mailing Address - Fax:717-336-1112
Practice Address - Street 1:334 MAIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:PA
Practice Address - Zip Code:17517-1448
Practice Address - Country:US
Practice Address - Phone:717-336-2292
Practice Address - Fax:717-336-1112
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035483L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist