Provider Demographics
NPI:1851729420
Name:ALBERT EINSTEIN MEDICAL CENTER
Entity Type:Organization
Organization Name:ALBERT EINSTEIN MEDICAL CENTER
Other - Org Name:EINSTEIN LIVEWELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MHA
Authorized Official - Phone:215-456-6486
Mailing Address - Street 1:1321 W TABOR RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3020
Mailing Address - Country:US
Mailing Address - Phone:215-456-4642
Mailing Address - Fax:215-456-4662
Practice Address - Street 1:1321 W TABOR RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3020
Practice Address - Country:US
Practice Address - Phone:215-456-6486
Practice Address - Fax:215-456-6485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy