Provider Demographics
NPI:1063728921
Name:NEAL, KIRSTEN RACHEL (PHARMD)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:RACHEL
Last Name:NEAL
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 1:1470 HERITAGE SQ
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-5959
Mailing Address - Country:US
Mailing Address - Phone:570-660-7301
Mailing Address - Fax:
Practice Address - Street 1:818 N US ROUTE 15
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1617
Practice Address - Country:US
Practice Address - Phone:717-432-0490
Practice Address - Fax:717-502-0508
Is Sole Proprietor?:No
Enumeration Date:2010-08-29
Last Update Date:2010-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist