Provider Demographics
NPI:1740509918
Name:STOCZYNSKI, KRISTIN ANNE (PHARM D)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANNE
Last Name:STOCZYNSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 E OHIO ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5619
Mailing Address - Country:US
Mailing Address - Phone:412-322-1566
Mailing Address - Fax:412-322-6190
Practice Address - Street 1:623 E OHIO ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5619
Practice Address - Country:US
Practice Address - Phone:412-322-1566
Practice Address - Fax:412-322-6190
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist