Provider Demographics
NPI:1366770182
Name:KIRK, TERRIE (PHARMD)
Entity type:Individual
Prefix:
First Name:TERRIE
Middle Name:
Last Name:KIRK
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 1:215 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3221
Mailing Address - Country:US
Mailing Address - Phone:713-524-3494
Mailing Address - Fax:713-807-7629
Practice Address - Street 1:215 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3221
Practice Address - Country:US
Practice Address - Phone:713-524-3494
Practice Address - Fax:713-807-7629
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist