Provider Demographics
NPI:1457512857
Name:STRATTMAN, KRISTIN J (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:J
Last Name:STRATTMAN
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 1:689 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2343
Mailing Address - Country:US
Mailing Address - Phone:401-559-7464
Mailing Address - Fax:401-821-4580
Practice Address - Street 1:719 TIOGUE AVE
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5803
Practice Address - Country:US
Practice Address - Phone:401-822-4800
Practice Address - Fax:401-821-4580
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist