Provider Demographics
NPI:1356343685
Name:WASHINGTON, CHRISTINA H (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:H
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:H
Other - Last Name:SENORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3915 DAYTONA RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2117
Mailing Address - Country:US
Mailing Address - Phone:910-488-4812
Mailing Address - Fax:910-323-9966
Practice Address - Street 1:1047 MURCHISON ROAD
Practice Address - Street 2:STE 106
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301
Practice Address - Country:US
Practice Address - Phone:910-323-9696
Practice Address - Fax:910-323-9966
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10210183500000X
OH03209185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist