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NPI Code Detail

MEDICARE: MR. GINO CUFFARI RPH

MEDICARE:  MR. GINO  CUFFARI  RPH
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
1183500000XPharmacistRP041550LPA

General Provider Information

NPI Number : 1528236304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GINO CUFFARI RPH
Provider Business Mailing Address
First Line : 2334 S BANCROFT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-4314
Country : US
Telephone Number : 215-467-4650
Fax Number :
Provider Business Practice Location Address
First Line : 2334 S BANCROFT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-4314
Country : US
Telephone Number : 215-467-4650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 03/04/2010

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Directions to “ MR. GINO CUFFARI RPH” Practice Location

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