Provider Demographics
NPI:1578904579
Name:ZAFFINO, KYLE BRUNO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:BRUNO
Last Name:ZAFFINO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 LIBERTY ST # 214
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2347
Mailing Address - Country:US
Mailing Address - Phone:814-723-1743
Mailing Address - Fax:814-726-7876
Practice Address - Street 1:212 LIBERTY ST # 214
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2347
Practice Address - Country:US
Practice Address - Phone:814-723-1743
Practice Address - Fax:814-726-7876
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444990183500000X
PARPI003784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist