Nathan Richard Ciufo

Individual provider Active NPI Pharmacist · Burlington, KY

NPI 1114207693 · NPPES record last updated Aug 28, 2011

Key facts

NPI
1114207693
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
KY011461 (KY)
Practice address
1747 Patrick Dr
Burlington, KY 41005-7317
Phone
(859) 586-8400
Fax
(859) 586-1432
NPI assigned
Aug 28, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
KY011461KYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X KY011461 KY Yes

Addresses

Primary practice location

1747 Patrick Dr
Burlington, KY 41005-7317

Mailing address

1747 Patrick Dr
Burlington, KY 41005-7317

Other providers in Burlington, KY

All providers in Burlington, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.