1659651511 NPI number — CHRISTI ANN ALBERT PHARMD

Table of content: CHRISTI ANN ALBERT PHARMD (NPI 1659651511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659651511 NPI number — CHRISTI ANN ALBERT PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBERT
Provider First Name:
CHRISTI
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIESCH
Provider Other First Name:
CHRISTI
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659651511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 HIGHLAND AVE
Provider Second Line Business Mailing Address:
F6/133 INPATIENT PHARMACY SERVICES
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53792-1530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-263-1290
Provider Business Mailing Address Fax Number:
608-263-9424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
F6/133 INPATIENT PHARMACY SERVICES
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53792-1530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-1290
Provider Business Practice Location Address Fax Number:
608-263-9424
Provider Enumeration Date:
08/24/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  16034-40 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)