Provider Demographics
NPI:1316542780
Name:ADKINS, KRISTA LEIGH (RPH)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:LEIGH
Last Name:ADKINS
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 1:405 GREEN BLVD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-1421
Mailing Address - Country:US
Mailing Address - Phone:812-926-2144
Mailing Address - Fax:812-926-0904
Practice Address - Street 1:405 GREEN BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-1421
Practice Address - Country:US
Practice Address - Phone:812-926-2144
Practice Address - Fax:812-926-0904
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021401A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist