Healthcare Provider Details

I. General information

NPI: 1619811973
Provider Name (Legal Business Name): CHRISTINE M MACUS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 W 21ST ST
NORTHAMPTON PA
18067-1222
US

IV. Provider business mailing address

761 MANGO LOOP
AUSTIN AR
72007-8400
US

V. Phone/Fax

Practice location:
  • Phone: 610-261-2720
  • Fax:
Mailing address:
  • Phone: 610-261-2720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039575
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: