Provider Demographics
NPI:1215970272
Name:DAVIS, CHRISTIAN LANCE (PHARMD, MHA)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:LANCE
Last Name:DAVIS
Suffix:
Gender:M
Credentials:PHARMD, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 NORTHLAKE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1650
Mailing Address - Country:US
Mailing Address - Phone:513-247-4298
Mailing Address - Fax:
Practice Address - Street 1:11500 NORTHLAKE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1650
Practice Address - Country:US
Practice Address - Phone:513-247-4298
Practice Address - Fax:513-247-4620
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist