Provider Demographics
NPI:1528656394
Name:ABLES, KRISTINA (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:ABLES
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 719
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:AR
Mailing Address - Zip Code:71744-0719
Mailing Address - Country:US
Mailing Address - Phone:870-798-4247
Mailing Address - Fax:870-798-4934
Practice Address - Street 1:344 SOUTH LEE ST
Practice Address - Street 2:HWY 167S
Practice Address - City:HAMPTON
Practice Address - State:AR
Practice Address - Zip Code:71744-7174
Practice Address - Country:US
Practice Address - Phone:870-798-4247
Practice Address - Fax:870-798-4934
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist