Healthcare Provider Details

I. General information

NPI: 1457547606
Provider Name (Legal Business Name): KRISTIN SUMMERS MEYER PHARMD, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SUMMIT ST DRAKE PHARMACY OFFICE
MARSHALLTOWN IA
50158-5484
US

IV. Provider business mailing address

1301 SUMMIT ST DRAKE PHARMACY OFFICE
MARSHALLTOWN IA
50158-5484
US

V. Phone/Fax

Practice location:
  • Phone: 641-753-4580
  • Fax: 641-753-4290
Mailing address:
  • Phone: 641-753-4580
  • Fax: 641-753-4290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number19625
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: