Provider Demographics
NPI:1114746377
Name:SINNOTT, CHRISTINE DANETTE (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DANETTE
Last Name:SINNOTT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6483 CRACKLEBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-9526
Mailing Address - Country:US
Mailing Address - Phone:970-381-7198
Mailing Address - Fax:
Practice Address - Street 1:1500 CENTRAL PARK COMMONS DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-8702
Practice Address - Country:US
Practice Address - Phone:651-405-3662
Practice Address - Fax:651-452-0880
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist