Provider Demographics
NPI:1114335981
Name:THARP, KRISTEN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:
Last Name:THARP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:BEAUCHAMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D,
Mailing Address - Street 1:9595 SIX PINES DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1531
Mailing Address - Country:US
Mailing Address - Phone:281-292-3962
Mailing Address - Fax:281-292-2080
Practice Address - Street 1:9595 SIX PINES DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:281-292-3962
Practice Address - Fax:281-292-2080
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist