Provider Demographics
NPI:1235974338
Name:WALKER, KRISTA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KRISTA
Other - Middle Name:MARIE
Other - Last Name:MANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1759 SMALLMAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-4314
Mailing Address - Country:US
Mailing Address - Phone:412-681-6400
Mailing Address - Fax:412-681-8774
Practice Address - Street 1:1759 SMALLMAN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-4314
Practice Address - Country:US
Practice Address - Phone:412-681-6400
Practice Address - Fax:412-681-8774
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist