MEDICARE: CHRISTINA JO PHARM.D.

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	22672	MD
2	183500000X	Pharmacist	0202213417	VA

General Provider Information

NPI Number	:	1609274935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA JO PHARM.D.

Provider Business Mailing Address
First Line	:	1614 TANYARD HILL RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879-3200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 BALTIMORE AVE
Second Line	:
City	:	COLLEGE PARK
State	:	MD
Zip	:	20740-3206
Country	:	US
Telephone Number	:	301-277-6114
Fax Number	:

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

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	12/18/2014

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