Provider Demographics
NPI:1134474133
Name:BIGHAM, CHRISTA LEANN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:LEANN
Last Name:BIGHAM
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 1:7835 FREEDOM AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6907
Mailing Address - Country:US
Mailing Address - Phone:330-491-4224
Mailing Address - Fax:877-309-0687
Practice Address - Street 1:7835 FREEDOM AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6907
Practice Address - Country:US
Practice Address - Phone:330-491-4224
Practice Address - Fax:877-309-0687
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031273601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist