Provider Demographics
NPI:1295073641
Name:WHITE, CHRISTINA GAINES (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GAINES
Last Name:WHITE
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 1:2415 MOORES MILL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8480
Mailing Address - Country:US
Mailing Address - Phone:334-502-8672
Mailing Address - Fax:334-502-8677
Practice Address - Street 1:2415 MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8480
Practice Address - Country:US
Practice Address - Phone:334-502-8672
Practice Address - Fax:334-502-8677
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALP13135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist