Provider Demographics
NPI:1558686907
Name:KLIBER, ARDIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:ARDIS
Middle Name:
Last Name:KLIBER
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 1:629 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2262
Mailing Address - Country:US
Mailing Address - Phone:814-337-8880
Mailing Address - Fax:814-333-4197
Practice Address - Street 1:629 STATE ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2262
Practice Address - Country:US
Practice Address - Phone:814-337-8880
Practice Address - Fax:814-333-4197
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist