Provider Demographics
NPI:1134120207
Name:LOCKE, CHRISTY WEEKS (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:WEEKS
Last Name:LOCKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 811
Mailing Address - Street 2:
Mailing Address - City:LOCKEFORD
Mailing Address - State:CA
Mailing Address - Zip Code:95237-0811
Mailing Address - Country:US
Mailing Address - Phone:209-467-6518
Mailing Address - Fax:209-944-8350
Practice Address - Street 1:1800 N CALIFORNIA ST
Practice Address - Street 2:ST. JOSEPH'S MEDICAL CENTER - PHARMACY DEPT
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-6019
Practice Address - Country:US
Practice Address - Phone:209-461-5100
Practice Address - Fax:209-944-8350
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA401041835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy