Provider Demographics
NPI:1780817601
Name:BROOKSHIRE, CHRISTIE C (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:C
Last Name:BROOKSHIRE
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 1:9161 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1438
Mailing Address - Country:US
Mailing Address - Phone:865-691-8541
Mailing Address - Fax:
Practice Address - Street 1:9161 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1438
Practice Address - Country:US
Practice Address - Phone:865-691-8541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist