Provider Demographics
NPI:1396281333
Name:DIPLOTTI, CHRISTIANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIANA
Middle Name:
Last Name:DIPLOTTI
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 1:1638 AUTUMN SAGE DR
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-7278
Mailing Address - Country:US
Mailing Address - Phone:678-897-1019
Mailing Address - Fax:
Practice Address - Street 1:4260 WINDER HWY
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-3603
Practice Address - Country:US
Practice Address - Phone:770-965-8928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-15
Last Update Date:2017-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist