Provider Demographics
NPI:1336479260
Name:COLEMAN, KRISTI LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:COLEMAN
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 1:4001 SUMMITVIEW AVE
Mailing Address - Street 2:1
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2953
Mailing Address - Country:US
Mailing Address - Phone:509-972-2986
Mailing Address - Fax:509-972-5401
Practice Address - Street 1:4001 SUMMITVIEW AVE
Practice Address - Street 2:1
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2953
Practice Address - Country:US
Practice Address - Phone:509-972-2986
Practice Address - Fax:509-972-5401
Is Sole Proprietor?:No
Enumeration Date:2009-12-25
Last Update Date:2009-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00070025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist