Provider Demographics
NPI:1942401518
Name:KLIPPEL, FRANK HOWARD (RPH , CDM)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:HOWARD
Last Name:KLIPPEL
Suffix:
Gender:M
Credentials:RPH , CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1016
Mailing Address - Country:US
Mailing Address - Phone:518-792-3177
Mailing Address - Fax:
Practice Address - Street 1:284 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH CREEK
Practice Address - State:NY
Practice Address - Zip Code:12853
Practice Address - Country:US
Practice Address - Phone:518-251-3777
Practice Address - Fax:518-251-5078
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist