Provider Demographics
NPI:1316233125
Name:SIMPSON, KRISTIN DAVIS (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:DAVIS
Last Name:SIMPSON
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 1:4616 HIGHWAY 280 S
Mailing Address - Street 2:T1772
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5028
Mailing Address - Country:US
Mailing Address - Phone:205-991-6248
Mailing Address - Fax:205-991-6248
Practice Address - Street 1:4616 HIGHWAY 280 S
Practice Address - Street 2:T1772
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5028
Practice Address - Country:US
Practice Address - Phone:205-991-6248
Practice Address - Fax:205-991-6248
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist