Provider Demographics
NPI:1336479252
Name:GUILLEN, KRISTY PERRY (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:PERRY
Last Name:GUILLEN
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 MALCOLM BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD COLLEGE
Mailing Address - State:NC
Mailing Address - Zip Code:28671
Mailing Address - Country:US
Mailing Address - Phone:828-580-7955
Mailing Address - Fax:
Practice Address - Street 1:722 MALCOLM BOULEVARD
Practice Address - Street 2:
Practice Address - City:RUTHERFORD COLLEGE
Practice Address - State:NC
Practice Address - Zip Code:28671
Practice Address - Country:US
Practice Address - Phone:828-580-7955
Practice Address - Fax:828-580-7953
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist