Provider Demographics
NPI:1285768267
Name:FIEBELKORN, KARL D (RPH, MBA)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:D
Last Name:FIEBELKORN
Suffix:
Gender:M
Credentials:RPH, MBA
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Mailing Address - Street 1:33 DEER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1292
Mailing Address - Country:US
Mailing Address - Phone:716-636-3022
Mailing Address - Fax:716-636-3022
Practice Address - Street 1:UNIVERSITY AT BUFFALO SCHOOL OF PHARMACY PHARM SCI
Practice Address - Street 2:126 A COOKE HALL
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-1200
Practice Address - Country:US
Practice Address - Phone:716-645-2824
Practice Address - Fax:716-645-3688
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY031636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist