Provider Demographics
NPI:1841425881
Name:COLLIER, KRISTIN ANN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANN
Last Name:COLLIER
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:CMR 415 UNIT 28130
Mailing Address - Street 2:USAHC GRAFENWOEHR PHARMACY
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114
Mailing Address - Country:US
Mailing Address - Phone:314-475-7431
Mailing Address - Fax:
Practice Address - Street 1:CMR 415 UNIT 28130
Practice Address - Street 2:USAHC GRAFENWOEHR PHARMACY
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09114
Practice Address - Country:US
Practice Address - Phone:314-475-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist