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NPI Code Detail

MEDICARE: HIRUT KIFLE

MEDICARE:   HIRUT  KIFLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP443415PA

General Provider Information

NPI Number : 1689967549
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIRUT KIFLE
Provider Business Mailing Address
First Line : 128 N COURTLAND ST
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-7901
Country : US
Telephone Number : 570-421-8665
Fax Number :
Provider Business Practice Location Address
First Line : 128 NORTH COURTLAND ST
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-7901
Country : US
Telephone Number : 570-421-8665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 05/25/2011

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Directions to “ HIRUT KIFLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.