Provider Demographics
NPI:1750450029
Name:FIRE, JOSEPH FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:FIRE
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 1:10 PARK ST
Mailing Address - Street 2:
Mailing Address - City:NORTH WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4606
Mailing Address - Country:US
Mailing Address - Phone:814-723-5166
Mailing Address - Fax:814-726-4499
Practice Address - Street 1:10 PARK ST
Practice Address - Street 2:WARREN STATE HOSP. 33 MAIN DRIVE
Practice Address - City:NORTH WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-4606
Practice Address - Country:US
Practice Address - Phone:814-723-5266
Practice Address - Fax:814-726-4499
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026626L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist