Provider Demographics
NPI:1598050130
Name:GOSIK, CHRISTINE CLAIRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CLAIRE
Last Name:GOSIK
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 1:233 CARMICHAEL WAY
Mailing Address - Street 2:T-2203
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-2182
Mailing Address - Country:US
Mailing Address - Phone:757-421-6641
Mailing Address - Fax:757-421-6651
Practice Address - Street 1:233 CARMICHAEL WAY
Practice Address - Street 2:T-2203
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-2182
Practice Address - Country:US
Practice Address - Phone:757-421-6641
Practice Address - Fax:757-421-6651
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist