Provider Demographics
NPI:1972913432
Name:KRISTINE MANLANGIT PHARMD
Entity Type:Organization
Organization Name:KRISTINE MANLANGIT PHARMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANLANGIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:916-216-3446
Mailing Address - Street 1:797 W 29TH AVE
Mailing Address - Street 2:APT 2230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1685
Mailing Address - Country:US
Mailing Address - Phone:916-216-3446
Mailing Address - Fax:
Practice Address - Street 1:797 W 29TH AVE
Practice Address - Street 2:APT 2230
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1685
Practice Address - Country:US
Practice Address - Phone:916-216-3446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty