Provider Demographics
NPI:1306160742
Name:PIPHER, AMY (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:PIPHER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 VESTAL PKWY E
Mailing Address - Street 2:TARGET PHARMACY 1056
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2038
Mailing Address - Country:US
Mailing Address - Phone:607-729-6204
Mailing Address - Fax:607-729-6204
Practice Address - Street 1:3112 VESTAL PKWY E
Practice Address - Street 2:TARGET PHARMACY 1056
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2038
Practice Address - Country:US
Practice Address - Phone:607-729-6204
Practice Address - Fax:607-729-6204
Is Sole Proprietor?:No
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist