Provider Demographics
NPI:1013510593
Name:PRASAD, CHRISTINA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:PRASAD
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 BAIRD RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-3601
Mailing Address - Country:US
Mailing Address - Phone:214-725-6444
Mailing Address - Fax:
Practice Address - Street 1:4047 BAIRD RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-3601
Practice Address - Country:US
Practice Address - Phone:214-725-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist