MEDICARE: CHRISTINA LINN CHAPMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03-3-21678	OH

General Provider Information

NPI Number	:	1578554358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LINN CHAPMAN

Provider Business Mailing Address
First Line	:	11708 ASHVILLE PIKE
Second Line	:
City	:	ASHVILLE
State	:	OH
Zip	:	43103-9507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MAIN ST E
Second Line	:
City	:	ASHVILLE
State	:	OH
Zip	:	43103-1512
Country	:	US
Telephone Number	:	740-983-2501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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