Provider Demographics
NPI:1184889628
Name:TUMIS, CHRISTINE NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:NICOLE
Last Name:TUMIS
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 1:3424 PARK SOUTH STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4465
Mailing Address - Country:US
Mailing Address - Phone:740-632-2025
Mailing Address - Fax:
Practice Address - Street 1:5811 PROSPITIRY CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0001
Practice Address - Country:US
Practice Address - Phone:704-948-0235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442882183500000X
NC20592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist