Provider Demographics
NPI:1225204894
Name:GASKINS, KRISTINA DEANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:DEANNE
Last Name:GASKINS
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 1:312 BROAD STREET
Mailing Address - Street 2:UNIT F68
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769
Mailing Address - Country:US
Mailing Address - Phone:301-788-1781
Mailing Address - Fax:
Practice Address - Street 1:312 BROAD STREET
Practice Address - Street 2:UNIT F68
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769
Practice Address - Country:US
Practice Address - Phone:301-788-1781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist