Provider Demographics
NPI:1003144148
Name:BANKS, KRISTINA P (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:P
Last Name:BANKS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N FRIENDSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3747
Mailing Address - Country:US
Mailing Address - Phone:281-992-3431
Mailing Address - Fax:281-992-4080
Practice Address - Street 1:102 N FRIENDSWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3747
Practice Address - Country:US
Practice Address - Phone:281-992-3431
Practice Address - Fax:281-992-4080
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX041803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist