Provider Demographics
NPI:1639831068
Name:KIFLE, AMANUEL GIRMA (PHARM D)
Entity Type:Individual
Prefix:
First Name:AMANUEL
Middle Name:GIRMA
Last Name:KIFLE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 W COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2607
Mailing Address - Country:US
Mailing Address - Phone:720-337-0271
Mailing Address - Fax:720-337-0280
Practice Address - Street 1:490 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2607
Practice Address - Country:US
Practice Address - Phone:720-337-0271
Practice Address - Fax:720-337-0280
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175031835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Multi-Specialty