Provider Demographics
NPI:1710693247
Name:RILEY, KRISTINE DIANE (PHARMD, RPH)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINE
Middle Name:DIANE
Last Name:RILEY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 OSAGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1012
Mailing Address - Country:US
Mailing Address - Phone:412-770-7797
Mailing Address - Fax:
Practice Address - Street 1:300 MOUNT LEBANON BLVD STE 23
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1506
Practice Address - Country:US
Practice Address - Phone:412-344-6700
Practice Address - Fax:412-344-5223
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist