Provider Demographics
NPI:1508145624
Name:PINTER, KAITLYN JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:JEAN
Last Name:PINTER
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 1:27 1/2 MOUNT WOOD RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-2600
Mailing Address - Country:US
Mailing Address - Phone:304-233-4511
Mailing Address - Fax:
Practice Address - Street 1:2102 WARWOOD AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-7106
Practice Address - Country:US
Practice Address - Phone:304-277-3607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-07
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007713183500000X
OHRPH03331255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist