Provider Demographics
NPI:1023443900
Name:FIUMARA, KRISTIN R (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:R
Last Name:FIUMARA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4448
Mailing Address - Country:US
Mailing Address - Phone:781-241-8224
Mailing Address - Fax:
Practice Address - Street 1:48 DODGE ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1760
Practice Address - Country:US
Practice Address - Phone:978-232-0103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist