Provider Demographics
NPI:1265510267
Name:EINODSHOFER, MICHAEL T (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:T
Last Name:EINODSHOFER
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 1:11 WILLOW LINKS DR
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4334
Mailing Address - Country:US
Mailing Address - Phone:412-454-7745
Mailing Address - Fax:
Practice Address - Street 1:112 WASHINGTON PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3458
Practice Address - Country:US
Practice Address - Phone:724-454-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043826L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist