Provider Demographics
NPI:1215943196
Name:PARSONS, CRISTA L (CPHT)
Entity type:Individual
Prefix:MS
First Name:CRISTA
Middle Name:L
Last Name:PARSONS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:OUTPATIENT PHARMACY
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-2161
Mailing Address - Fax:614-722-2157
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:OUTPATIENT PHARMACY
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-2161
Practice Address - Fax:614-722-2157
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1501-0752-7727-245183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician