Healthcare Provider Details

I. General information

NPI: 1528050234
Provider Name (Legal Business Name): KRISTI MARIE QUAIROLI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR DR SE
ATLANTA GA
30303-3031
US

IV. Provider business mailing address

80 JESSE HILL JR DR SE PO BOX 26041
ATLANTA GA
30303-3031
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-5406
  • Fax: 404-616-8810
Mailing address:
  • Phone: 404-616-5406
  • Fax: 404-616-8810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH022306
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: