MEDICARE: DR. KRISTIN ANN HIGGINS PHARM D, BCPS

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	1835P1200X	Pharmacotherapy Pharmacist	12325040	WI

General Provider Information

NPI Number	:	1518062884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN ANN HIGGINS PHARM D, BCPS

Provider Business Mailing Address
First Line	:	3169 DEMING WAY
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-1435
Country	:	US
Telephone Number	:	608-716-8315
Fax Number	:	608-827-0294

Provider Business Practice Location Address
First Line	:	726 LONDON RD
Second Line	:
City	:	DEERFIELD
State	:	WI
Zip	:	53531-9572
Country	:	US
Telephone Number	:	608-354-8982
Fax Number	:	608-827-0294

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	06/10/2021

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