Provider Demographics
NPI:1164754545
Name:FRANCIS, KRISTA A (RPH)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:A
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1217
Mailing Address - Country:US
Mailing Address - Phone:315-265-2770
Mailing Address - Fax:315-265-2777
Practice Address - Street 1:200 MARKET ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1217
Practice Address - Country:US
Practice Address - Phone:315-265-2770
Practice Address - Fax:315-265-2777
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist