Individual
KRISTINA ANN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3955 PHELAN BLVD, BEAUMONT, TX 77707-2223
(409) 833-1298
Mailing address
3955 PHELAN BLVD, BEAUMONT, TX 77707-2223
(409) 833-1298
(409) 833-1667
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
111827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110103345293558
PTCB
TX
01
—
111827
STATE BOARD REGISTRATION
TX
Enumeration date
08/26/2019
Last updated
08/26/2019
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