Provider Demographics
NPI:1114200730
Name:POWERS, KRISTYN MARIE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:KRISTYN
Middle Name:MARIE
Last Name:POWERS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3628
Mailing Address - Country:US
Mailing Address - Phone:610-259-7850
Mailing Address - Fax:610-259-8777
Practice Address - Street 1:2 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3628
Practice Address - Country:US
Practice Address - Phone:610-259-7850
Practice Address - Fax:610-259-8777
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440441L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist