Provider Demographics
NPI:1578821773
Name:CHRISTOPHER, TIFFANY MARIE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:MARIE
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:MARIE
Other - Last Name:KIBLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6510 BROCKPORT SPENCERPORT RD
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-2630
Mailing Address - Country:US
Mailing Address - Phone:585-637-7705
Mailing Address - Fax:585-637-7725
Practice Address - Street 1:6510 BROCKPORT SPENCERPORT RD
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-2630
Practice Address - Country:US
Practice Address - Phone:585-637-7705
Practice Address - Fax:585-637-7725
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist