Provider Demographics
NPI:1578082558
Name:O'BLENESS, CHRISTOPHER VERNON (PHARM D)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VERNON
Last Name:O'BLENESS
Suffix:
Gender:M
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 1:23126 BULSON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-7504
Mailing Address - Country:US
Mailing Address - Phone:208-681-3115
Mailing Address - Fax:
Practice Address - Street 1:1517 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2234
Practice Address - Country:US
Practice Address - Phone:360-293-2119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60763860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist