Provider Demographics
NPI:1134338080
Name:TOMLINSON, KRISTINA MARIE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:MARIE
Last Name:TOMLINSON
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 1:521 KINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:SERGEANT BLUFF
Mailing Address - State:IA
Mailing Address - Zip Code:51054-8736
Mailing Address - Country:US
Mailing Address - Phone:515-333-1474
Mailing Address - Fax:
Practice Address - Street 1:3400 SINGING HILLS BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5162
Practice Address - Country:US
Practice Address - Phone:712-252-4905
Practice Address - Fax:712-252-5092
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist