Provider Demographics
NPI:1396342614
Name:CHRISTIE, KARLA (RPH)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4778 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2702
Mailing Address - Country:US
Mailing Address - Phone:443-235-4111
Mailing Address - Fax:
Practice Address - Street 1:540 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5352
Practice Address - Country:US
Practice Address - Phone:410-742-1188
Practice Address - Fax:410-742-3408
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist