Provider Demographics
NPI:1609401645
Name:FOULKS, KRISTEN N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:N
Last Name:FOULKS
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 1:4001 PIEDMONT PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9402
Mailing Address - Country:US
Mailing Address - Phone:336-878-8980
Mailing Address - Fax:
Practice Address - Street 1:4001 PIEDMONT PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9402
Practice Address - Country:US
Practice Address - Phone:336-878-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist