Provider Demographics
NPI:1972195287
Name:ARMBRECHT, KRISTEN FORD
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:FORD
Last Name:ARMBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3373 W FRED HARRELL DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-6644
Mailing Address - Country:US
Mailing Address - Phone:812-701-4275
Mailing Address - Fax:
Practice Address - Street 1:326 S WASHINGTON ST STE 22
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:IN
Practice Address - Zip Code:47042-8042
Practice Address - Country:US
Practice Address - Phone:812-689-0200
Practice Address - Fax:812-689-0201
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021183A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist