Provider Demographics
NPI:1962937649
Name:PATILLE, CRISTINA REYES (PHARMD, BCPS, CPP)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:REYES
Last Name:PATILLE
Suffix:
Gender:F
Credentials:PHARMD, BCPS, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7019
Mailing Address - Country:US
Mailing Address - Phone:336-832-8138
Mailing Address - Fax:
Practice Address - Street 1:709 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7019
Practice Address - Country:US
Practice Address - Phone:336-832-8138
Practice Address - Fax:336-547-1769
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC259961835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care