Healthcare Provider Details

I. General information

NPI: 1144184268
Provider Name (Legal Business Name): CHRISTINA PONDER CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 HAND AVE
BAY MINETTE AL
36507-4110
US

IV. Provider business mailing address

1815 HAND AVE
BAY MINETTE AL
36507-4110
US

V. Phone/Fax

Practice location:
  • Phone: 251-477-9058
  • Fax: 251-279-5475
Mailing address:
  • Phone: 251-477-9058
  • Fax: 251-279-5475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberT23688
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: