Provider Demographics
NPI:1033515929
Name:BROWER, KRISTIN (PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:BROWER
Suffix:
Gender:F
Credentials:PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4952 ALSTON GROVE DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8068
Mailing Address - Country:US
Mailing Address - Phone:614-561-1182
Mailing Address - Fax:
Practice Address - Street 1:410 W 10TH AVE RM 368
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-685-6676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328844-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist