MEDICARE: CHRISTY WEEKS LOCKE PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	40104	CA

General Provider Information

NPI Number	:	1134120207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY WEEKS LOCKE PHARM.D.

Provider Business Mailing Address
First Line	:	PO BOX 811
Second Line	:
City	:	LOCKEFORD
State	:	CA
Zip	:	95237-0811
Country	:	US
Telephone Number	:	209-467-6518
Fax Number	:	209-944-8350

Provider Business Practice Location Address
First Line	:	1800 N CALIFORNIA ST
Second Line	:	ST. JOSEPH'S MEDICAL CENTER - PHARMACY DEPT
City	:	STOCKTON
State	:	CA
Zip	:	95204-6019
Country	:	US
Telephone Number	:	209-461-5100
Fax Number	:	209-944-8350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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