Provider Demographics
NPI:1205210812
Name:NALAGAN, KRISTINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:
Last Name:NALAGAN
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 1:479 ODIN DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1804
Mailing Address - Country:US
Mailing Address - Phone:925-408-1025
Mailing Address - Fax:
Practice Address - Street 1:479 ODIN DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1804
Practice Address - Country:US
Practice Address - Phone:925-408-1025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist