Provider Demographics
NPI:1811603293
Name:POTTS-GRIFFITHS, CHRISTY LYNNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:LYNNE
Last Name:POTTS-GRIFFITHS
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 1:3600 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-1324
Mailing Address - Country:US
Mailing Address - Phone:814-934-6755
Mailing Address - Fax:
Practice Address - Street 1:600 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4802
Practice Address - Country:US
Practice Address - Phone:814-943-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist