Provider Demographics
NPI:1932928439
Name:BLATCHER, CHRISTINA ROSE MARIE (RPH)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ROSE MARIE
Last Name:BLATCHER
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 1:8110 PARK LN APT 315
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-6089
Mailing Address - Country:US
Mailing Address - Phone:504-689-1969
Mailing Address - Fax:
Practice Address - Street 1:385 E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2206
Practice Address - Country:US
Practice Address - Phone:504-689-1969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist