Provider Demographics
NPI:1568484806
Name:GRIFFITH, STEPHEN C (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:C
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:NANTY GLO
Mailing Address - State:PA
Mailing Address - Zip Code:15943-1038
Mailing Address - Country:US
Mailing Address - Phone:814-749-0621
Mailing Address - Fax:814-322-1403
Practice Address - Street 1:2809 WILLIAM PENN AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15909-3629
Practice Address - Country:US
Practice Address - Phone:814-322-4521
Practice Address - Fax:814-322-1403
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028981L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist