Provider Demographics
NPI:1609234772
Name:WEIKEL, KRISTA JOAN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:JOAN
Last Name:WEIKEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17967-9738
Mailing Address - Country:US
Mailing Address - Phone:570-590-6138
Mailing Address - Fax:
Practice Address - Street 1:500 N CLAUDE A LORD BLVD
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3868
Practice Address - Country:US
Practice Address - Phone:570-622-2224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist