Provider Demographics
NPI:1730459819
Name:JAFFE, RAYMOND (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:JAFFE
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 1:2525 BARNSLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7821
Mailing Address - Country:US
Mailing Address - Phone:215-704-6276
Mailing Address - Fax:
Practice Address - Street 1:2525 BARNSLEIGH DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7821
Practice Address - Country:US
Practice Address - Phone:215-704-6276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist