Provider Demographics
NPI:1942916176
Name:CHRIST CLINIC
Entity Type:Organization
Organization Name:CHRIST CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE (PIC)
Authorized Official - Prefix:DR
Authorized Official - First Name:KEFA
Authorized Official - Middle Name:NJERU
Authorized Official - Last Name:WAINAINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-377-4127
Mailing Address - Street 1:25722 KINGSLAND BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2650
Mailing Address - Country:US
Mailing Address - Phone:281-784-0435
Mailing Address - Fax:832-437-7933
Practice Address - Street 1:25722 KINGSLAND BLVD STE 101
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2650
Practice Address - Country:US
Practice Address - Phone:281-784-0435
Practice Address - Fax:832-437-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy