Provider Demographics
NPI:1780027813
Name:BOBERICK, CHRISTINE ELIZABETH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:BOBERICK
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 1:2750 S COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6602
Mailing Address - Country:US
Mailing Address - Phone:303-512-0449
Mailing Address - Fax:303-512-0626
Practice Address - Street 1:2750 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6602
Practice Address - Country:US
Practice Address - Phone:303-512-0449
Practice Address - Fax:303-512-0626
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist