Provider Demographics
NPI:1770794810
Name:GOLOFF, STEVEN (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:GOLOFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6649 EASTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2331
Mailing Address - Country:US
Mailing Address - Phone:215-278-7711
Mailing Address - Fax:215-278-7712
Practice Address - Street 1:6649 EASTWOOD ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19149-2331
Practice Address - Country:US
Practice Address - Phone:215-278-7711
Practice Address - Fax:215-278-7712
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028464L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist