Provider Demographics
NPI:1447961537
Name:WERNER, KRISTIN DAWN (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:DAWN
Last Name:WERNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:DAWN
Other - Last Name:YOUNGKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 WEAVER BLVD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8345
Mailing Address - Country:US
Mailing Address - Phone:828-645-7499
Mailing Address - Fax:
Practice Address - Street 1:140 WEAVER BLVD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8345
Practice Address - Country:US
Practice Address - Phone:828-645-7499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist