Provider Demographics
NPI:1831599455
Name:RUFFINO, KRISTIN PICOU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:PICOU
Last Name:RUFFINO
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:PICOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4817 JEANNETTE DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-2615
Mailing Address - Country:US
Mailing Address - Phone:504-289-7140
Mailing Address - Fax:
Practice Address - Street 1:1401 FOUCHER ST STE C309
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3515
Practice Address - Country:US
Practice Address - Phone:504-758-3726
Practice Address - Fax:504-758-3728
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.022095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist