Provider Demographics
NPI:1356915730
Name:EITER, MALORY (CPHT)
Entity type:Individual
Prefix:
First Name:MALORY
Middle Name:
Last Name:EITER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2724
Mailing Address - Country:US
Mailing Address - Phone:412-855-1917
Mailing Address - Fax:
Practice Address - Street 1:4185 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2522
Practice Address - Country:US
Practice Address - Phone:724-942-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician