Provider Demographics
NPI:1841770567
Name:RABOLD, KRISTINE MICHELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:MICHELE
Last Name:RABOLD
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 1:300 BYPASS 25 NE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3009
Mailing Address - Country:US
Mailing Address - Phone:864-567-4257
Mailing Address - Fax:
Practice Address - Street 1:300 BYPASS 25 NE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3009
Practice Address - Country:US
Practice Address - Phone:864-567-4257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist