Provider Demographics
NPI:1316541469
Name:COLLIER, KRISTA BETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:BETH
Last Name:COLLIER
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 1:501 FARMINGTON CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2272
Mailing Address - Country:US
Mailing Address - Phone:859-492-5319
Mailing Address - Fax:
Practice Address - Street 1:409 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1630
Practice Address - Country:US
Practice Address - Phone:859-623-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist