Individual
KRISTIN ROSE VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
400 W 23RD ST, LAWRENCE, KS 66046-4706
(785) 832-8388
Mailing address
400 W 23RD ST, LAWRENCE, KS 66046-4706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109174
KS
183500000X
Pharmacist
26023610A
IN
183500000X
Pharmacist
S018385
AZ
Other
Enumeration date
08/27/2011
Last updated
11/09/2021
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