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NPI Code Detail

MEDICARE: TIFFANY M HAIRSTON-LINDSEY

MEDICARE:   TIFFANY M HAIRSTON-LINDSEY
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
1183500000XPharmacistRP043471LPA

General Provider Information

NPI Number : 1174831465
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY M HAIRSTON-LINDSEY
Provider Business Mailing Address
First Line : 1334 WINDRIM AVE
Second Line :
City : PHILA
State : PA
Zip : 19141-2725
Country : US
Telephone Number : 215-455-6162
Fax Number :
Provider Business Practice Location Address
First Line : 1334 WINDRIM AVE
Second Line :
City : PHILA
State : PA
Zip : 19141-2725
Country : US
Telephone Number : 215-455-6162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2010
Last Update Date : 09/20/2010

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Directions to “ TIFFANY M HAIRSTON-LINDSEY ” Practice Location

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