Provider Demographics
NPI:1528214210
Name:CAMPBELL, KRISTIN HILL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:HILL
Last Name:CAMPBELL
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 1:2150 CHILI AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3453
Mailing Address - Country:US
Mailing Address - Phone:585-429-5190
Mailing Address - Fax:585-429-9670
Practice Address - Street 1:2150 CHILI AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3453
Practice Address - Country:US
Practice Address - Phone:585-429-5190
Practice Address - Fax:585-429-9670
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist