Provider Demographics
NPI:1760627087
Name:KRIEGER, HARVEY SANFORD (RPH)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:SANFORD
Last Name:KRIEGER
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 1:863 BRIDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1501
Mailing Address - Country:US
Mailing Address - Phone:330-666-5397
Mailing Address - Fax:
Practice Address - Street 1:863 BRIDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1501
Practice Address - Country:US
Practice Address - Phone:330-666-5397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03109028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist