Provider Demographics
NPI:1750981098
Name:JENKINS, CHRISTY (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1640 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7950
Mailing Address - Country:US
Mailing Address - Phone:501-262-7508
Mailing Address - Fax:501-262-7507
Practice Address - Street 1:1640 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7950
Practice Address - Country:US
Practice Address - Phone:501-262-7508
Practice Address - Fax:501-262-7507
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist