Provider Demographics
NPI:1497089783
Name:PINTO, MANOHAR STEVEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:MANOHAR
Middle Name:STEVEN
Last Name:PINTO
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 1:15 SHAPLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1401
Mailing Address - Country:US
Mailing Address - Phone:207-438-9079
Mailing Address - Fax:
Practice Address - Street 1:15 SHAPLEIGH RD
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1401
Practice Address - Country:US
Practice Address - Phone:207-438-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist