Provider Demographics
NPI:1063897353
Name:STALLINGS, CHRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:STALLINGS
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 1:8820 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5245
Mailing Address - Country:US
Mailing Address - Phone:479-452-0278
Mailing Address - Fax:479-452-2587
Practice Address - Street 1:8820 ROGERS AVE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5245
Practice Address - Country:US
Practice Address - Phone:479-452-0278
Practice Address - Fax:479-452-2587
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist