Provider Demographics
NPI:1801167036
Name:RAGLAND, KRISTIE LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTIE
Middle Name:LEE
Last Name:RAGLAND
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 1:509 CANAAN RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650-9009
Mailing Address - Country:US
Mailing Address - Phone:501-428-0430
Mailing Address - Fax:870-448-2606
Practice Address - Street 1:509 CANAAN RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:AR
Practice Address - Zip Code:72650-9009
Practice Address - Country:US
Practice Address - Phone:501-428-0430
Practice Address - Fax:870-448-2606
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist