Provider Demographics
NPI:1568686574
Name:TRIBUIANI, KRISTI NICOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:NICOLE
Last Name:TRIBUIANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:NICOLE
Other - Last Name:MARCEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3138 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-5122
Mailing Address - Country:US
Mailing Address - Phone:215-423-5264
Mailing Address - Fax:
Practice Address - Street 1:512 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1014
Practice Address - Country:US
Practice Address - Phone:484-953-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist