Provider Demographics
NPI:1720803505
Name:KLINE, NANCI (RPH)
Entity type:Individual
Prefix:
First Name:NANCI
Middle Name:
Last Name:KLINE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2230
Mailing Address - Country:US
Mailing Address - Phone:570-213-2986
Mailing Address - Fax:
Practice Address - Street 1:300 COMMERCE BLVD STE 130
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-6215
Practice Address - Country:US
Practice Address - Phone:570-421-6789
Practice Address - Fax:570-421-9992
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029831L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist