Healthcare Provider Details

I. General information

NPI: 1740566157
Provider Name (Legal Business Name): CHRISTINA HUFFMAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2011
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W IMPERIAL HWY
LA HABRA CA
90631-7261
US

IV. Provider business mailing address

101 W IMPERIAL HWY
LA HABRA CA
90631-7261
US

V. Phone/Fax

Practice location:
  • Phone: 714-447-9576
  • Fax: 714-447-9671
Mailing address:
  • Phone: 714-447-9576
  • Fax: 714-447-9671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: