Healthcare Provider Details
I. General information
NPI: 1871826206
Provider Name (Legal Business Name): CELINE A HUFF RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/17/2009
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
318 E 4TH ST
EMPORIUM PA
15834-1514
US
IV. Provider business mailing address
318 E 4TH ST
EMPORIUM PA
15834-1514
US
V. Phone/Fax
- Phone: 814-486-1191
- Fax: 814-486-1195
- Phone: 814-486-1191
- Fax: 814-486-1195
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP038543L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: