Provider Demographics
NPI:1760722953
Name:ROSS, KRISTI (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:ROSS
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 1:2707 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-3322
Mailing Address - Country:US
Mailing Address - Phone:724-504-6813
Mailing Address - Fax:
Practice Address - Street 1:1333 PLANK RD STE 200
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635
Practice Address - Country:US
Practice Address - Phone:855-265-8008
Practice Address - Fax:814-283-2211
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist