Provider Demographics
NPI:1124167465
Name:RICHTER, KRISTIN E (RPH)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:E
Last Name:RICHTER
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 1:7 CHRISTINAMARIE DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-7731
Mailing Address - Country:US
Mailing Address - Phone:518-371-8009
Mailing Address - Fax:
Practice Address - Street 1:12 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-1503
Practice Address - Country:US
Practice Address - Phone:518-664-6368
Practice Address - Fax:518-664-6871
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0429381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist