Provider Demographics
NPI:1942613245
Name:CASALE, KRISTY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:
Last Name:CASALE
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 1:8290 OCEAN GTWY
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7146
Mailing Address - Country:US
Mailing Address - Phone:410-763-6501
Mailing Address - Fax:
Practice Address - Street 1:28528 MARLBORO AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2792
Practice Address - Country:US
Practice Address - Phone:410-690-7207
Practice Address - Fax:410-690-7209
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist