Provider Demographics
NPI:1487022893
Name:GRIFFY, KRISTEN BROOKE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:BROOKE
Last Name:GRIFFY
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 1:1954 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8038
Mailing Address - Country:US
Mailing Address - Phone:931-552-8108
Mailing Address - Fax:
Practice Address - Street 1:1954 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8038
Practice Address - Country:US
Practice Address - Phone:931-552-8108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000039465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist