Provider Demographics
NPI:1205118882
Name:GILL, CHRISTINE G (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:G
Last Name:GILL
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 1:1215 21ST AVE S
Mailing Address - Street 2:MCE PHARMACY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0014
Mailing Address - Country:US
Mailing Address - Phone:615-936-1040
Mailing Address - Fax:615-936-2289
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:VANDERBILT MCE PHARMACY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0014
Practice Address - Country:US
Practice Address - Phone:615-936-1040
Practice Address - Fax:615-936-2289
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist