Provider Demographics
NPI:1558342568
Name:MAFF, EDWARD BERNARD JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:BERNARD
Last Name:MAFF
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 HEARTHSTONE CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2700
Mailing Address - Country:US
Mailing Address - Phone:717-766-6142
Mailing Address - Fax:
Practice Address - Street 1:3463 BIGLERVILLE ROAD
Practice Address - Street 2:
Practice Address - City:BIGLERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17307-0481
Practice Address - Country:US
Practice Address - Phone:717-677-8144
Practice Address - Fax:717-677-9694
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033052L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist