Provider Demographics
NPI:1538499769
Name:PRADELT, KRISTI L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:L
Last Name:PRADELT
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 1:21201 E OCOTILLO RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-9339
Mailing Address - Country:US
Mailing Address - Phone:480-987-1615
Mailing Address - Fax:480-987-0211
Practice Address - Street 1:21201 E OCOTILLO RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-9339
Practice Address - Country:US
Practice Address - Phone:480-987-1615
Practice Address - Fax:480-987-0211
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist