Provider Demographics
NPI:1912301060
Name:GIESLER, KRISTIE KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIE
Middle Name:KAY
Last Name:GIESLER
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 1:611 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MN
Mailing Address - Zip Code:56352-1045
Mailing Address - Country:US
Mailing Address - Phone:320-256-7292
Mailing Address - Fax:320-256-3358
Practice Address - Street 1:611 MAIN ST W
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MN
Practice Address - Zip Code:56352-1045
Practice Address - Country:US
Practice Address - Phone:320-256-7292
Practice Address - Fax:320-256-3358
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMN118611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist