Provider Demographics
NPI:1891021911
Name:CHIN, KRISTINE GUERRERO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:GUERRERO
Last Name:CHIN
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 1:980 FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3515
Mailing Address - Country:US
Mailing Address - Phone:916-422-7202
Mailing Address - Fax:916-422-0839
Practice Address - Street 1:980 FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3515
Practice Address - Country:US
Practice Address - Phone:916-422-7202
Practice Address - Fax:916-422-0839
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist