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NPI Code Detail

MEDICARE: DR. KRISTIN ELSASSER PHARMD

MEDICARE: DR. KRISTIN ELSASSER 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
1183500000XPharmacist03129711OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103129711OTHEROHOHIO STATE BOARD OF PHARMACY LICENSE

General Provider Information

NPI Number : 1891224846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN ELSASSER PHARMD
Provider Business Mailing Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-3699
Country : US
Telephone Number : 220-564-4152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 04/12/2025

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Directions to “ DR. KRISTIN ELSASSER PHARMD” Practice Location

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