Provider Demographics
NPI:1932792827
Name:TAUTE, KRISTEN SEACH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:SEACH
Last Name:TAUTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CANTERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1362
Mailing Address - Country:US
Mailing Address - Phone:508-520-4874
Mailing Address - Fax:401-733-0724
Practice Address - Street 1:574 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4048
Practice Address - Country:US
Practice Address - Phone:508-839-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH25608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist