Provider Demographics
NPI:1891159562
Name:GRIFFIES, AMBER (PHARMD RPH)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:GRIFFIES
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 VETERANS HWY
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3001
Mailing Address - Country:US
Mailing Address - Phone:215-269-7000
Mailing Address - Fax:215-269-7001
Practice Address - Street 1:2235 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3001
Practice Address - Country:US
Practice Address - Phone:215-269-7000
Practice Address - Fax:215-269-7001
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRRP443699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP443699OtherPA STATE