Provider Demographics
NPI:1134669997
Name:BOBOWSKI, CHRISTINA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:BOBOWSKI
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 1:1567 CITY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-3600
Mailing Address - Country:US
Mailing Address - Phone:707-633-4884
Mailing Address - Fax:888-810-1949
Practice Address - Street 1:1567 CITY CENTER RD
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-3600
Practice Address - Country:US
Practice Address - Phone:707-633-3488
Practice Address - Fax:888-810-1949
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76176183500000X
IL051.299482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist