Provider Demographics
NPI:1972595585
Name:BARNETT, CHRISTINA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:BARNETT
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 1:1805 ROUTE 565
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-4903
Mailing Address - Country:US
Mailing Address - Phone:973-875-9546
Mailing Address - Fax:
Practice Address - Street 1:MID-HUDSON FORENSIC PSYCH CENTER
Practice Address - Street 2:BOX 158 RTE 17M
Practice Address - City:NEWHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:10958-0158
Practice Address - Country:US
Practice Address - Phone:845-374-3171
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist