Provider Demographics
NPI:1669077657
Name:PARRILLA, KRISTINA MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MARIA
Last Name:PARRILLA
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 1:7916 INDIGO ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5841
Mailing Address - Country:US
Mailing Address - Phone:786-678-1520
Mailing Address - Fax:
Practice Address - Street 1:9578 HARDING AVE
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2502
Practice Address - Country:US
Practice Address - Phone:786-678-1520
Practice Address - Fax:305-866-8080
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty