Healthcare Provider Details

I. General information

NPI: 1205054061
Provider Name (Legal Business Name): ELIZABETH ANN EISENHOFER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E CHESTNUT ST
LANCASTER PA
17602-2705
US

IV. Provider business mailing address

251 WHEATFIELD RD
SINKING SPRING PA
19608-9288
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-3814
  • Fax:
Mailing address:
  • Phone: 610-670-5881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438272
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02810700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: