Provider Demographics
NPI:1184028870
Name:DUERR, KRISTINA ELENA (PHARMD, APH, BCPS)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:ELENA
Last Name:DUERR
Suffix:
Gender:F
Credentials:PHARMD, APH, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 N REINO RD # 1062
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3710
Mailing Address - Country:US
Mailing Address - Phone:805-768-4853
Mailing Address - Fax:
Practice Address - Street 1:400 WEST PUEBLO STREET
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3710
Practice Address - Country:US
Practice Address - Phone:805-768-4853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist