Provider Demographics
NPI:1699972851
Name:CIPOLLE, CHRISTINA LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LOUISE
Last Name:CIPOLLE
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 1:775 SCHOOL RD NW APT 204
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1470
Mailing Address - Country:US
Mailing Address - Phone:320-455-0215
Mailing Address - Fax:
Practice Address - Street 1:775 SCHOOL RD NW APT 204
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1470
Practice Address - Country:US
Practice Address - Phone:507-647-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist