Provider Demographics
NPI:1699960872
Name:WHALEN, CRISTINA FRANCES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:FRANCES
Last Name:WHALEN
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 1:1608 UPSHUR ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1221 MERCANTILE LANE
Practice Address - Street 2:CLINICAL PHARMACY DEPARTMENT
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-0001
Practice Address - Country:US
Practice Address - Phone:301-618-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15176183500000X
MD18884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist