Provider Demographics
NPI:1962685347
Name:AFIFI, NOHA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NOHA
Middle Name:
Last Name:AFIFI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3081
Mailing Address - Country:US
Mailing Address - Phone:215-547-6635
Mailing Address - Fax:
Practice Address - Street 1:2833 BROADWAY
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2245
Practice Address - Country:US
Practice Address - Phone:212-663-3135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-09
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047215-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01639147Medicaid