Provider Demographics
NPI:1457547606
Name:MEYER, KRISTIN SUMMERS (PHARMD, CGP)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:SUMMERS
Last Name:MEYER
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SUMMIT ST
Mailing Address - Street 2:DRAKE PHARMACY OFFICE
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-5484
Mailing Address - Country:US
Mailing Address - Phone:641-753-4580
Mailing Address - Fax:641-753-4290
Practice Address - Street 1:1301 SUMMIT ST
Practice Address - Street 2:DRAKE PHARMACY OFFICE
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-5484
Practice Address - Country:US
Practice Address - Phone:641-753-4580
Practice Address - Fax:641-753-4290
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA196251835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric