Provider Demographics
NPI:1154312270
Name:KOENIGSFELD, CARRIE FOUST (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:FOUST
Last Name:KOENIGSFELD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 UNIVERSITY AVE
Mailing Address - Street 2:DRAKE COLLEGE OF PHARMACY
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-4516
Mailing Address - Country:US
Mailing Address - Phone:515-271-4918
Mailing Address - Fax:
Practice Address - Street 1:2507 UNIVERSITY AVE
Practice Address - Street 2:DRAKE COLLEGE OF PHARMACY
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50311-4516
Practice Address - Country:US
Practice Address - Phone:515-271-4918
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist