Individual
KRISTEN M PELLINGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS, BCPP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00065741
WA
1835P1200X
Pharmacotherapy Pharmacist
PH 00065741
WA
1835P1300X
Psychiatric Pharmacist
Primary
PH 00065741
WA
Other
Enumeration date
10/10/2006
Last updated
06/16/2022
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