Provider Demographics
NPI:1275849598
Name:RUKAS, KRISTINA LOREN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:LOREN
Last Name:RUKAS
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 1:2661 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1411
Mailing Address - Country:US
Mailing Address - Phone:412-820-6781
Mailing Address - Fax:
Practice Address - Street 1:2661 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1411
Practice Address - Country:US
Practice Address - Phone:412-820-6781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist