Provider Demographics
NPI:1952406233
Name:PALANO, KRISTINA LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:LEE
Last Name:PALANO
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 1:1301 S HOWARD AVE
Mailing Address - Street 2:APT 18 B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3145
Mailing Address - Country:US
Mailing Address - Phone:716-238-6277
Mailing Address - Fax:
Practice Address - Street 1:1301 S HOWARD AVE
Practice Address - Street 2:APT 18 B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3145
Practice Address - Country:US
Practice Address - Phone:716-238-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist