Provider Demographics
NPI:1528341542
Name:SCHEXNAILDER, KRISTA LEIGH (RPH)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LEIGH
Last Name:SCHEXNAILDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18087 FOREST HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3067
Mailing Address - Country:US
Mailing Address - Phone:225-202-4858
Mailing Address - Fax:
Practice Address - Street 1:17122 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3402
Practice Address - Country:US
Practice Address - Phone:225-673-9971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist