Provider Demographics
NPI:1376147868
Name:CRIBB, KIARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KIARA
Middle Name:
Last Name:CRIBB
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 1:2907 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4203
Mailing Address - Country:US
Mailing Address - Phone:404-763-8405
Mailing Address - Fax:404-669-9229
Practice Address - Street 1:2907 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-4203
Practice Address - Country:US
Practice Address - Phone:404-763-8405
Practice Address - Fax:404-669-9229
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist