Provider Demographics
NPI:1023643681
Name:PRESNAL, KRISTINA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:PRESNAL
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 1:9220 W GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-2730
Mailing Address - Country:US
Mailing Address - Phone:414-456-9119
Mailing Address - Fax:414-456-0882
Practice Address - Street 1:9220 W GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-2730
Practice Address - Country:US
Practice Address - Phone:414-456-9119
Practice Address - Fax:414-456-0882
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18671-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist