Provider Demographics
NPI:1104427921
Name:FROENDHOFF, KAREN ANN (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:FROENDHOFF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1740
Mailing Address - Country:US
Mailing Address - Phone:859-491-0663
Mailing Address - Fax:
Practice Address - Street 1:1815 ST RT 125
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-2565
Practice Address - Country:US
Practice Address - Phone:513-797-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03320186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist