Provider Demographics
NPI:1851816789
Name:LIN, CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LIN
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 1:800 REDWOOD HWY FRONTAGE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2351
Mailing Address - Country:US
Mailing Address - Phone:415-360-9020
Mailing Address - Fax:415-360-9021
Practice Address - Street 1:800 REDWOOD HWY FRONTAGE RD STE 110
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2351
Practice Address - Country:US
Practice Address - Phone:415-360-9020
Practice Address - Fax:415-360-9021
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist