Provider Demographics
NPI:1164735718
Name:ELDERS, KRISTY SHEFFIELD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:SHEFFIELD
Last Name:ELDERS
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 1:6019 KELLY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:AL
Mailing Address - Zip Code:35004-2152
Mailing Address - Country:US
Mailing Address - Phone:205-602-9847
Mailing Address - Fax:
Practice Address - Street 1:6019 KELLY CREEK CIR
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004-2152
Practice Address - Country:US
Practice Address - Phone:205-602-9847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist