Provider Demographics
NPI:1588285340
Name:ARCHER, KRISTEN L (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:L
Last Name:ARCHER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 BILTMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5826
Mailing Address - Country:US
Mailing Address - Phone:786-417-5825
Mailing Address - Fax:
Practice Address - Street 1:3900 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4525
Practice Address - Country:US
Practice Address - Phone:561-338-4747
Practice Address - Fax:561-338-6137
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist