Provider Demographics
NPI:1982985230
Name:CRISTOFORI, TIFFANIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TIFFANIE
Middle Name:
Last Name:CRISTOFORI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 HOOKSETT RD
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1842
Mailing Address - Country:US
Mailing Address - Phone:603-647-2846
Mailing Address - Fax:603-627-6917
Practice Address - Street 1:1298 HOOKSETT RD
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1842
Practice Address - Country:US
Practice Address - Phone:603-647-2846
Practice Address - Fax:603-627-6917
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3076984Medicaid