Provider Demographics
NPI:1114264256
Name:CASTRO, KRISTINA TERESA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:TERESA
Last Name:CASTRO
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 1:1290 W 68TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4524
Mailing Address - Country:US
Mailing Address - Phone:305-820-8870
Mailing Address - Fax:305-742-0517
Practice Address - Street 1:2414 W 60TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4418
Practice Address - Country:US
Practice Address - Phone:305-557-3315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist