Provider Demographics
NPI:1578819298
Name:ANEST, CHRISTINA P (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:P
Last Name:ANEST
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 1:1425 S MARIPOSA AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4337
Mailing Address - Country:US
Mailing Address - Phone:310-435-9937
Mailing Address - Fax:
Practice Address - Street 1:1425 S MARIPOSA AVE APT 107
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4337
Practice Address - Country:US
Practice Address - Phone:310-435-9937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist