Provider Demographics
NPI:1245847128
Name:MONAHAN, CHRISTIE (PHARMD, CDCES, CPP)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:PHARMD, CDCES, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SHORE LAKE DR APT L
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1468
Mailing Address - Country:US
Mailing Address - Phone:843-697-8504
Mailing Address - Fax:
Practice Address - Street 1:1439 E CONE BLVD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-4533
Practice Address - Country:US
Practice Address - Phone:743-255-3971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP00121271835P2201X
NC7004901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care