Provider Demographics
NPI:1982918546
Name:RIDDLE, CHRISTINE LORRAINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LORRAINE
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ASH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5002
Mailing Address - Country:US
Mailing Address - Phone:603-430-0088
Mailing Address - Fax:
Practice Address - Street 1:72 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2490
Practice Address - Country:US
Practice Address - Phone:603-964-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist