Provider Demographics
NPI:1518333756
Name:GRAFTON, KERRI LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNN
Last Name:GRAFTON
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 1:10A HILLTOP PLZ
Mailing Address - Street 2:VAMC ARMSTRONG CO. CBOC
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-8906
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10A HILLTOP PLZ
Practice Address - Street 2:VAMC ARMSTRONG CO. CBOC
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8906
Practice Address - Country:US
Practice Address - Phone:724-287-4781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist