Provider Demographics
NPI:1972382299
Name:HADDAD, CHRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:HADDAD
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 1:1410 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1557
Mailing Address - Country:US
Mailing Address - Phone:650-274-3278
Mailing Address - Fax:
Practice Address - Street 1:105 E UWCHLAN AVE
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1206
Practice Address - Country:US
Practice Address - Phone:610-594-1931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist