Provider Demographics
NPI:1841379005
Name:ALLEN, CHRISTINE VASQUEZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:VASQUEZ
Last Name:ALLEN
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 1:3450 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-3239
Mailing Address - Country:US
Mailing Address - Phone:801-277-4114
Mailing Address - Fax:
Practice Address - Street 1:3450 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-3239
Practice Address - Country:US
Practice Address - Phone:801-277-4114
Practice Address - Fax:801-277-4114
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT150561-17011835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric