Provider Demographics
NPI:1689278509
Name:CASH, KRISTEN R
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:R
Last Name:CASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:R
Other - Last Name:LIBERATORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3505 COPPER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6838
Mailing Address - Country:US
Mailing Address - Phone:815-531-4272
Mailing Address - Fax:
Practice Address - Street 1:6761 PRESTON RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2504
Practice Address - Country:US
Practice Address - Phone:972-403-7357
Practice Address - Fax:972-403-7401
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist