| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KRISTIANA DIANNE ROBERTS | 1154925097 | 2020-11-22 |
Kristiana Dianne Roberts is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154925097. Registration indicates Kristiana Dianne Roberts is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Kristiana Dianne Roberts RPH |
| Practice Office Address | 1725 SALEM ST LAFAYETTE, IN US |
| Practice Office Telephone | 7654471276 |
| Practice Office Fax | 7654473492 |
| Mailing Address | 1725 SALEM ST LAFAYETTE, IN 479042105 US |
| Business Telephone | 7654471276 |
| Business Fax | 7654473492 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 26017309
IN |