Provider Demographics
NPI:1487335063
Name:TAING, CHRISTINE ASHLEY (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ASHLEY
Last Name:TAING
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 1:3036 W LAKE ST UNIT 410
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5243
Mailing Address - Country:US
Mailing Address - Phone:702-689-6121
Mailing Address - Fax:
Practice Address - Street 1:3036 W LAKE ST UNIT 410
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-5243
Practice Address - Country:US
Practice Address - Phone:702-689-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist