Provider Demographics
NPI:1104971837
Name:KEIFER, JAMES F (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:KEIFER
Suffix:
Gender:M
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:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:MC ALISTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17049-0027
Mailing Address - Country:US
Mailing Address - Phone:717-463-3558
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 405
Practice Address - Street 2:
Practice Address - City:MC ALISTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17049-9603
Practice Address - Country:US
Practice Address - Phone:717-463-3558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029347L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist