Provider Demographics
NPI:1033437207
Name:WOLFE, KAREN M (RPH)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:WOLFE
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 1:1340 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-1080
Mailing Address - Country:US
Mailing Address - Phone:724-947-4722
Mailing Address - Fax:
Practice Address - Street 1:1340 MAIN ST
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-1080
Practice Address - Country:US
Practice Address - Phone:724-947-4722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-040048-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist