Provider Demographics
NPI:1912288614
Name:RIFE, DENISE JEAN (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:JEAN
Last Name:RIFE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4657 S 159TH ST E
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-9618
Mailing Address - Country:US
Mailing Address - Phone:316-733-5707
Mailing Address - Fax:
Practice Address - Street 1:1625 S WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5601
Practice Address - Country:US
Practice Address - Phone:316-652-9147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS123721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy