Provider Demographics
NPI:1578963872
Name:VELOVITCH, KRISTIN NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:NICOLE
Last Name:VELOVITCH
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 1:4865 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-1932
Mailing Address - Country:US
Mailing Address - Phone:866-759-1557
Mailing Address - Fax:
Practice Address - Street 1:4865 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1932
Practice Address - Country:US
Practice Address - Phone:866-759-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132112-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist