Individual
CARISSA CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 MILITARY AVE, BAXTER SPRINGS, KS 66713-1547
(620) 856-5858
(620) 856-3976
Mailing address
1000 MILITARY AVE, BAXTER SPRINGS, KS 66713-1547
(620) 856-5858
(620) 856-3976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13528
KS
183500000X
Pharmacist
13480
OK
183500000X
Pharmacist
2007023329
MO
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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