Provider Demographics
NPI:1730312091
Name:ALTHOFF, CHAD D (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:D
Last Name:ALTHOFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2610 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9609
Mailing Address - Country:US
Mailing Address - Phone:717-755-0462
Mailing Address - Fax:717-755-0462
Practice Address - Street 1:2610 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9609
Practice Address - Country:US
Practice Address - Phone:717-755-0462
Practice Address - Fax:717-755-0462
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044850L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist