Provider Demographics
NPI:1922411552
Name:CHRISTENSEN, ADRIENNE RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:RENEE
Last Name:CHRISTENSEN
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 1:1490 TINY TOWN RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7201
Mailing Address - Country:US
Mailing Address - Phone:931-503-2561
Mailing Address - Fax:
Practice Address - Street 1:1490 TINY TOWN RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7201
Practice Address - Country:US
Practice Address - Phone:931-503-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist