Provider Demographics
NPI:1134510605
Name:FROSTICK, KAREN (CPHT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FROSTICK
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 S GATEWAY DR
Mailing Address - Street 2:T2175
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-1228
Mailing Address - Country:US
Mailing Address - Phone:540-374-4821
Mailing Address - Fax:540-374-4831
Practice Address - Street 1:25 S GATEWAY DR
Practice Address - Street 2:T2175
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1228
Practice Address - Country:US
Practice Address - Phone:540-374-4821
Practice Address - Fax:540-374-4831
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230024711183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0230024711OtherCOMMON WEALTH OF VIRGINIA
VA10050382OtherPHARMACY TECHNICIAN CERTIFICATION BOARD