Provider Demographics
NPI:1316124233
Name:WEBER, KAREN L (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:WEBER
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 1:878 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3049
Mailing Address - Country:US
Mailing Address - Phone:585-723-3051
Mailing Address - Fax:585-723-9096
Practice Address - Street 1:878 LONG POND RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-3049
Practice Address - Country:US
Practice Address - Phone:585-723-3051
Practice Address - Fax:585-723-9096
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist