Provider Demographics
NPI:1245836949
Name:BARTOL, CHRISTINE (RPH)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:BARTOL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CVS PHARMACY #07886
Mailing Address - Street 2:260 SOUTH US HIGHWAY 1
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469
Mailing Address - Country:US
Mailing Address - Phone:561-743-3841
Mailing Address - Fax:561-743-3847
Practice Address - Street 1:CVS PHARMACY #07886
Practice Address - Street 2:260 SOUTH US HIGHWAY 1
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469
Practice Address - Country:US
Practice Address - Phone:561-743-3841
Practice Address - Fax:561-743-3847
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist