Provider Demographics
NPI:1972854354
Name:SALVAS, KRISTEN E (PHARM D,, RPH)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:SALVAS
Suffix:
Gender:F
Credentials:PHARM D,, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 POOL ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9706
Mailing Address - Country:US
Mailing Address - Phone:207-266-8841
Mailing Address - Fax:
Practice Address - Street 1:257 POOL ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9706
Practice Address - Country:US
Practice Address - Phone:207-266-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist