Provider Demographics
NPI:1962686170
Name:LAMBERT, CHRISTINE MARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:LAMBERT
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 1:1711 GENESEE STREET
Mailing Address - Street 2:RITE AID 10783
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501
Mailing Address - Country:US
Mailing Address - Phone:315-797-1790
Mailing Address - Fax:315-733-1840
Practice Address - Street 1:1711 GENESEE STREET
Practice Address - Street 2:RITE AID 10783
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501
Practice Address - Country:US
Practice Address - Phone:315-797-1790
Practice Address - Fax:315-733-1840
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01228179Medicaid