MEDICARE: KRISTIAN ELIZABETH KLEMINSKY TESTERMAN 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	16592	AL

General Provider Information

NPI Number	:	1518247477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIAN ELIZABETH KLEMINSKY TESTERMAN PHARMD

Provider Business Mailing Address
First Line	:	409 SAINT CLAIR AVE SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5120
Country	:	US
Telephone Number	:	256-518-9530
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 SAINT CLAIR AVE SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5120
Country	:	US
Telephone Number	:	256-518-9530
Fax Number	:

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

Provider Enumeration Date	:	08/24/2011
Last Update Date	:	06/18/2012

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