Provider Demographics
NPI:1861274490
Name:SHKOLNIK, KRISTINA OLEGOVNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:OLEGOVNA
Last Name:SHKOLNIK
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 1:1285 SOM CENTER RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2073
Mailing Address - Country:US
Mailing Address - Phone:440-995-9919
Mailing Address - Fax:440-947-5257
Practice Address - Street 1:36195 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4410
Practice Address - Country:US
Practice Address - Phone:440-975-1983
Practice Address - Fax:440-520-7148
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67136183500000X
SC60454183500000X
OH03443767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist