Provider Demographics
NPI:1083024368
Name:REED, KRISTIE L (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:L
Last Name:REED
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 1:1021 HIGH POINT ST
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-7192
Mailing Address - Country:US
Mailing Address - Phone:336-495-3784
Mailing Address - Fax:336-495-3789
Practice Address - Street 1:1021 HIGH POINT ST
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-7192
Practice Address - Country:US
Practice Address - Phone:336-495-3784
Practice Address - Fax:336-495-3789
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist