Provider Demographics
NPI:1508147158
Name:DELARM, KRISTINE V (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:V
Last Name:DELARM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FARRS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-1901
Mailing Address - Country:US
Mailing Address - Phone:864-232-5883
Mailing Address - Fax:864-246-7712
Practice Address - Street 1:7 FARRS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-1901
Practice Address - Country:US
Practice Address - Phone:864-246-1528
Practice Address - Fax:864-246-7712
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC10839OtherPHARMACY LICENSE