Provider Demographics
NPI:1780906818
Name:KRAPIN, PAM A (PHARMD)
Entity type:Individual
Prefix:MS
First Name:PAM
Middle Name:A
Last Name:KRAPIN
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:PO BOX 11236
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-0236
Mailing Address - Country:US
Mailing Address - Phone:518-783-0997
Mailing Address - Fax:
Practice Address - Street 1:12 JUPITER LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-6918
Practice Address - Country:US
Practice Address - Phone:518-689-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist