Healthcare Provider Details
I. General information
NPI: 1932023017
Provider Name (Legal Business Name): CHRISTINE DAVIS PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-0001
US
IV. Provider business mailing address
5932 CUTTERS CREEK CT
PFAFFTOWN NC
27040-9380
US
V. Phone/Fax
- Phone: 336-713-5047
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 26602 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: