Individual
MRS. KRISTINA COLIZZI WINDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 AZALEA SQUARE BLVD, SUMMERVILLE, SC 29483-7321
(843) 871-6935
(843) 871-6935
Mailing address
450 AZALEA SQUARE BLVD, SUMMERVILLE, SC 29483-7321
(843) 871-6935
(843) 871-6935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10938
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202010677
PHARMACIST LICENSE
VA
01
—
10938
PHARMACIST LICENSE
SC
01
—
PS 39855
PHARMACIST LICENSE
FL
Enumeration date
05/17/2011
Last updated
05/24/2011
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