Provider Demographics
NPI:1427949783
Name:QUART, KRISTINE A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:A
Last Name:QUART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6494 SURFSIDE LN
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3207
Mailing Address - Country:US
Mailing Address - Phone:619-316-7878
Mailing Address - Fax:
Practice Address - Street 1:6494 SURFSIDE LN
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3207
Practice Address - Country:US
Practice Address - Phone:619-316-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH37430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist