Individual
KRISTEN M PELLINGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS, BCPP
Contact information
Practice address
3601 S 6TH AVE # 13-119, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-1864
Mailing address
1876 E SABIN DR BLDG A, CASA GRANDE, AZ 85122-6197
(520) 792-1450
(520) 368-5794
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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