Provider Demographics
NPI:1174589162
Name:NEISINGER, CHRISTINA REBEKAH (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:REBEKAH
Last Name:NEISINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:REBEKAH
Other - Last Name:RENGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:702 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72716-6299
Mailing Address - Country:US
Mailing Address - Phone:509-385-3626
Mailing Address - Fax:
Practice Address - Street 1:6405 W POINTE PKWY
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-6948
Practice Address - Country:US
Practice Address - Phone:208-777-4212
Practice Address - Fax:208-777-4234
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019797183500000X
WAPH00063929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPH60113517OtherWASHINGTON STATE BOARD OF PHARMACY
IDP10445OtherBOP
WAPH00063929OtherPHARMACIST