Provider Demographics
NPI:1518940295
Name:KREITMAN, JEFFREY D (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:KREITMAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 CARLSON RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9706
Mailing Address - Country:US
Mailing Address - Phone:717-651-3566
Mailing Address - Fax:
Practice Address - Street 1:8040 CARLSON RD
Practice Address - Street 2:SUITE 500
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9706
Practice Address - Country:US
Practice Address - Phone:717-651-3566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist