Most Relevant Information
Provider Data
NPI Number: | 1003050378 |
Provider Name: | KIM C DIRIENZO RPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | RP040872L |
Most Important Dates
Enumeration Date: | 04/29/2009 |
Last Updated: | 04/29/2009 |
Provider Practice Location
925 W ERIE PLZ
ERIE
PA
165054535
Practice Location Phone/Fax
Phone: | 8144547800 |
Fax: | 8144540600 |
Provider Mailing Location
3402 DELMAR DR
ERIE
PA
165063538
Provider Mailing Phone/Fax
Phone: | 8148359212 |
Fax: |