Provider Demographics
NPI:1841587557
Name:KNIER, CARLENE A (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARLENE
Middle Name:A
Last Name:KNIER
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 1:1685 17TH AVE E
Mailing Address - Street 2:T-1272
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4407
Mailing Address - Country:US
Mailing Address - Phone:952-445-1727
Mailing Address - Fax:
Practice Address - Street 1:1685 17TH AVE E
Practice Address - Street 2:T-1272
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-4407
Practice Address - Country:US
Practice Address - Phone:952-445-1727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist