Provider Demographics
NPI:1275042038
Name:RAINEY, CHRISTINE ROSE (BSPHARM, DSCI)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ROSE
Last Name:RAINEY
Suffix:
Gender:F
Credentials:BSPHARM, DSCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 REED ST
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1176
Mailing Address - Country:US
Mailing Address - Phone:248-231-9710
Mailing Address - Fax:248-596-1733
Practice Address - Street 1:751 E 9 MILE RD STE 2
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1989
Practice Address - Country:US
Practice Address - Phone:248-291-6728
Practice Address - Fax:248-291-6731
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020232351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist