Provider Demographics
NPI:1609193812
Name:BROWN, KRISTI LYNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:LYNN
Last Name:BROWN
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 1:1417 SHORT HORN CV
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1355
Mailing Address - Country:US
Mailing Address - Phone:512-716-0864
Mailing Address - Fax:254-933-3502
Practice Address - Street 1:525 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-3071
Practice Address - Country:US
Practice Address - Phone:254-939-0843
Practice Address - Fax:254-933-3502
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist