Provider Demographics
NPI:1215213608
Name:ALVEY, KRISTIN WEBB (PHARM D)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:WEBB
Last Name:ALVEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 PLAYERS CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8835
Mailing Address - Country:US
Mailing Address - Phone:901-240-3122
Mailing Address - Fax:901-748-3960
Practice Address - Street 1:3145 PLAYERS CLUB PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8835
Practice Address - Country:US
Practice Address - Phone:901-240-3122
Practice Address - Fax:901-748-3960
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23917183500000X
IL051.293351183500000X
MST-010634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist