Provider Demographics
NPI:1386834919
Name:EAKIN, KRIS ANNA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:ANNA
Last Name:EAKIN
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:SMITH-CALDWELL, LTC
Mailing Address - Street 2:403 N. MARKET STREET
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015
Mailing Address - Country:US
Mailing Address - Phone:501-326-6153
Mailing Address - Fax:
Practice Address - Street 1:SMITH-CALDWELL, LTC
Practice Address - Street 2:403 N. MARKET STREET
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015
Practice Address - Country:US
Practice Address - Phone:501-326-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist