Provider Demographics
NPI:1023789757
Name:HAIMES, CHRISTY C (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:C
Last Name:HAIMES
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 1:2128 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-3814
Mailing Address - Country:US
Mailing Address - Phone:305-878-5279
Mailing Address - Fax:
Practice Address - Street 1:508 10TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4062
Practice Address - Country:US
Practice Address - Phone:941-723-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist