Provider Demographics
NPI:1205420189
Name:GEURIN, AMY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:GEURIN
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 1:1302 GRAND CANAL DR
Mailing Address - Street 2:
Mailing Address - City:CORP CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-5739
Mailing Address - Country:US
Mailing Address - Phone:361-739-9638
Mailing Address - Fax:
Practice Address - Street 1:1302 GRAND CANAL DR
Practice Address - Street 2:
Practice Address - City:CORP CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5739
Practice Address - Country:US
Practice Address - Phone:361-739-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist