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NPI Code Detail

MEDICARE: DR. KRISTIN MARIE KOUSKI PHARM. D.

MEDICARE: DR. KRISTIN MARIE KOUSKI PHARM. D.
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
1183500000XPharmacist0202207560VA

General Provider Information

NPI Number : 1770690190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN MARIE KOUSKI PHARM. D.
Provider Business Mailing Address
First Line : 11626 BELVEDERE VISTA LN
Second Line : APT. 304
City : RICHMOND
State : VA
Zip : 23235-4363
Country : US
Telephone Number : 804-840-4180
Fax Number :
Provider Business Practice Location Address
First Line : 2024 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3109
Country : US
Telephone Number : 804-288-6318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 07/08/2007

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