Provider Demographics
NPI:1104215805
Name:DARVILLE-HENDRIX, KRISTINA (PHARMACIST(PHARMD))
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:DARVILLE-HENDRIX
Suffix:
Gender:F
Credentials:PHARMACIST(PHARMD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 DONALD ROSS RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7201
Mailing Address - Country:US
Mailing Address - Phone:561-598-5990
Mailing Address - Fax:
Practice Address - Street 1:4860 DONALD ROSS RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-7201
Practice Address - Country:US
Practice Address - Phone:561-598-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-19
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS52970OtherREGISTERED PHARMACIST LICENSE NUMBER