Provider Demographics
NPI:1770982191
Name:CHRISTIAN, KAREN (RPH)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:CHRISTIAN
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 1:15 RED CEDAR CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3324
Mailing Address - Country:US
Mailing Address - Phone:501-351-4245
Mailing Address - Fax:501-223-0648
Practice Address - Street 1:9112 N RODNEY PARHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1648
Practice Address - Country:US
Practice Address - Phone:501-223-2262
Practice Address - Fax:501-223-0648
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR07887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist