Provider Demographics
NPI:1780963637
Name:MASINO-MONOKY, KRISTIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:MASINO-MONOKY
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 1:2512 E CLEARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-5018
Mailing Address - Country:US
Mailing Address - Phone:215-426-5099
Mailing Address - Fax:215-426-4401
Practice Address - Street 1:2512 E CLEARFIELD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-5018
Practice Address - Country:US
Practice Address - Phone:215-426-5099
Practice Address - Fax:215-426-4401
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist