Provider Demographics
NPI:1225401169
Name:SCHWEITZER, KRYSTINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTINA
Middle Name:
Last Name:SCHWEITZER
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 1:307 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-3453
Mailing Address - Country:US
Mailing Address - Phone:315-214-5097
Mailing Address - Fax:
Practice Address - Street 1:307 NOTTINGHAM RD
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-3453
Practice Address - Country:US
Practice Address - Phone:315-214-5097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-31
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist