Provider Demographics
NPI:1922523885
Name:CLINE, KRISTINE (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:
Last Name:CLINE
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:DR
Other - First Name:KRISTINE
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, MS
Mailing Address - Street 1:659 FORESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2056
Mailing Address - Country:US
Mailing Address - Phone:614-321-7786
Mailing Address - Fax:
Practice Address - Street 1:659 FORESTWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-2056
Practice Address - Country:US
Practice Address - Phone:614-321-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03236883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist