Provider Demographics
NPI:1073022877
Name:CARDINAL-KARP, COURTNEY MARIE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MARIE
Last Name:CARDINAL-KARP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:MARIE
Other - Last Name:CARDINAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:726 EXCHANGE ST STE 522
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-1485
Mailing Address - Country:US
Mailing Address - Phone:716-800-2273
Mailing Address - Fax:716-954-7121
Practice Address - Street 1:111 N MAPLEMERE RD STE 200
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3182
Practice Address - Country:US
Practice Address - Phone:716-800-2273
Practice Address - Fax:716-954-7121
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist