Provider Demographics
NPI:1669013199
Name:MCCASKEY, KRISTIN FLYNN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:FLYNN
Last Name:MCCASKEY
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 1:6307 RUTGERS ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6741
Mailing Address - Country:US
Mailing Address - Phone:940-367-8061
Mailing Address - Fax:
Practice Address - Street 1:1501 E AMARILLO BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-5554
Practice Address - Country:US
Practice Address - Phone:806-373-7057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist