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NPI Code Detail

MEDICARE: EMILY KISTLER

MEDICARE:   EMILY  KISTLER
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
1183500000XPharmacist75530TX

General Provider Information

NPI Number : 1538090857
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KISTLER
Provider Business Mailing Address
First Line : 4100 GREENBRIAR DR APT 212
Second Line :
City : HOUSTON
State : TX
Zip : 77098-5235
Country : US
Telephone Number : 717-968-8842
Fax Number :
Provider Business Practice Location Address
First Line : 4100 GREENBRIAR DR APT 212
Second Line :
City : HOUSTON
State : TX
Zip : 77098-5235
Country : US
Telephone Number : 717-968-8842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ EMILY KISTLER ” Practice Location

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