Provider Demographics
NPI:1457940363
Name:NEAREY, CHRISTINE ANN (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:NEAREY
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 1:1 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5677
Mailing Address - Country:US
Mailing Address - Phone:301-831-7111
Mailing Address - Fax:410-549-7627
Practice Address - Street 1:1 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-5677
Practice Address - Country:US
Practice Address - Phone:301-831-7111
Practice Address - Fax:410-549-7627
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP072383336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy