Provider Demographics
NPI:1346374782
Name:MASLAR, PETER MICHAEL (RPH)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:MICHAEL
Last Name:MASLAR
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 1:293 WHISPERING PINES LN
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-7930
Mailing Address - Country:US
Mailing Address - Phone:610-582-2494
Mailing Address - Fax:
Practice Address - Street 1:2001 N 11TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1201
Practice Address - Country:US
Practice Address - Phone:610-921-1200
Practice Address - Fax:610-921-5761
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031252L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist