MEDICARE: KRISTEN HOUSE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03131749	OH

General Provider Information

NPI Number	:	1386056505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN HOUSE PHARMD

Provider Business Mailing Address
First Line	:	13906 SUNLADEN CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-8378
Country	:	US
Telephone Number	:	937-830-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	1661 HILLIARD ROME RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-9485
Country	:	US
Telephone Number	:	614-529-5133
Fax Number	:	614-529-5165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	05/22/2014

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Directions to “ KRISTEN HOUSE PHARMD” Practice Location

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