Provider Demographics
NPI:1205915303
Name:HOLLIDAY, CHRISTINA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:HOLLIDAY
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 1:9924 ALDEN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8303
Mailing Address - Country:US
Mailing Address - Phone:704-503-4331
Mailing Address - Fax:
Practice Address - Street 1:1085 NE GATEWAY CT
Practice Address - Street 2:SUITE 190
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2406
Practice Address - Country:US
Practice Address - Phone:704-260-8684
Practice Address - Fax:704-260-8688
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist