MEDICARE: DR. KRISTINA KRUPP 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	19811	NC

General Provider Information

NPI Number	:	1407002934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINA KRUPP PHARMD

Provider Business Mailing Address
First Line	:	201 S ESTES DR # 10
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-7001
Country	:	US
Telephone Number	:	919-942-8738
Fax Number	:	919-942-1203

Provider Business Practice Location Address
First Line	:	201 S ESTES DR # 10
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-7001
Country	:	US
Telephone Number	:	919-942-8738
Fax Number	:	919-942-1203

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

Provider Enumeration Date	:	08/15/2008
Last Update Date	:	08/15/2008

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