Provider Demographics
NPI:1437128360
Name:FRUEHAUF, KARL ROBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:ROBERT
Last Name:FRUEHAUF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141-1420
Mailing Address - Country:US
Mailing Address - Phone:716-592-5926
Mailing Address - Fax:
Practice Address - Street 1:6199 S PARK AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3846
Practice Address - Country:US
Practice Address - Phone:716-648-1475
Practice Address - Fax:716-648-5894
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist