# KRISTEN FAVALORA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225759459
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2022035731 | MO | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PD16269 | AR | — |

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 09/06/2022