Provider Demographics
NPI:1457635336
Name:PRIZNER, KRISTA LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:LEE
Last Name:PRIZNER
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 1:5005 ROUNDSTONE WAY
Mailing Address - Street 2:APT 304
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1932
Mailing Address - Country:US
Mailing Address - Phone:412-849-2882
Mailing Address - Fax:
Practice Address - Street 1:5005 ROUNDSTONE WAY
Practice Address - Street 2:APT 304
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-1932
Practice Address - Country:US
Practice Address - Phone:412-849-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist