Healthcare Provider Details

I. General information

NPI: 1487930863
Provider Name (Legal Business Name): CHRISTOPHER STEVEN HOBBS PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 COON RAPIDS BLVD NW
COON RAPIDS MN
55433-3427
US

IV. Provider business mailing address

2992 113TH AVE NW
COON RAPIDS MN
55433-3442
US

V. Phone/Fax

Practice location:
  • Phone: 763-421-1784
  • Fax: 763-576-8037
Mailing address:
  • Phone: 763-576-9261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number116351
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: