Provider Demographics
NPI:1336432863
Name:KLAPROTH, DONALD RICHARD
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:RICHARD
Last Name:KLAPROTH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 SUSQUEHANNA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18643-2816
Mailing Address - Country:US
Mailing Address - Phone:570-655-1003
Mailing Address - Fax:
Practice Address - Street 1:801 WYOMING AVE STE 9
Practice Address - Street 2:
Practice Address - City:WEST PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18643-2766
Practice Address - Country:US
Practice Address - Phone:570-654-6689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044557L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist