Provider Demographics
NPI:1548555741
Name:WOO, CHRISTINA JANE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:JANE
Last Name:WOO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 EL CAMINO REAL
Mailing Address - Street 2:T-1054
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-2420
Mailing Address - Country:US
Mailing Address - Phone:650-825-2115
Mailing Address - Fax:650-825-2115
Practice Address - Street 1:1150 EL CAMINO REAL
Practice Address - Street 2:T-1054
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-2420
Practice Address - Country:US
Practice Address - Phone:650-825-2115
Practice Address - Fax:650-825-2115
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist