Provider Demographics
NPI:1144640327
Name:LOEFFLER, CHRISTINA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:LOEFFLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:CAPPIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7 SCHOLL DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3110
Mailing Address - Country:US
Mailing Address - Phone:631-902-6164
Mailing Address - Fax:
Practice Address - Street 1:731 MIDDLE COUNTRY RD
Practice Address - Street 2:#B
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-3211
Practice Address - Country:US
Practice Address - Phone:631-656-8900
Practice Address - Fax:631-656-8902
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist