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NPI Code Detail

MEDICARE: MISS CYNTHIA ANN RIFFE RPH

MEDICARE: MISS CYNTHIA ANN RIFFE 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
1333600000XPharmacy10997OK

General Provider Information

NPI Number : 1679172274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CYNTHIA ANN RIFFE RPH
Provider Business Mailing Address
First Line : 3024 PRESTONWOOD CIRCLE
Second Line :
City : DURANT
State : OK
Zip : 74701
Country : US
Telephone Number : 580-775-4866
Fax Number :
Provider Business Practice Location Address
First Line : 744 S MISSISSIPPI AVE
Second Line :
City : ATOKA
State : OK
Zip : 74525-3355
Country : US
Telephone Number : 580-889-3353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2020
Last Update Date : 10/23/2020

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Directions to “ MISS CYNTHIA ANN RIFFE RPH” Practice Location

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