Provider Demographics
NPI:1629643895
Name:DIER, KRISLEE DEE
Entity Type:Individual
Prefix:MRS
First Name:KRISLEE
Middle Name:DEE
Last Name:DIER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KRISLEE
Other - Middle Name:ADAMS
Other - Last Name:DIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:108 SUMMERVILLE FARMS COURT
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663
Mailing Address - Country:US
Mailing Address - Phone:423-578-0246
Mailing Address - Fax:
Practice Address - Street 1:COMMUNITY PHARMACY
Practice Address - Street 2:1402 TUSCULUM BLVD
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745
Practice Address - Country:US
Practice Address - Phone:423-588-5099
Practice Address - Fax:423-588-5935
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist