Provider Demographics
NPI:1154449536
Name:CHRISTENSEN, JUDITH S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:S
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:1105 6TH ST
Mailing Address - Street 2:MUNSON MEDICAL CENTER PHARMACY DEPT
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2345
Mailing Address - Country:US
Mailing Address - Phone:231-935-7651
Mailing Address - Fax:231-935-5667
Practice Address - Street 1:1105 6TH ST
Practice Address - Street 2:MUNSON MEDICAL CENTER PHARMACY DEPT
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2345
Practice Address - Country:US
Practice Address - Phone:231-935-7651
Practice Address - Fax:231-935-5667
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI53020322911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy