Provider Demographics
NPI:1982734869
Name:SALHOFF, DONALD PAUL (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:PAUL
Last Name:SALHOFF
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 1:429 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3031
Mailing Address - Country:US
Mailing Address - Phone:518-439-1484
Mailing Address - Fax:
Practice Address - Street 1:180 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1304
Practice Address - Country:US
Practice Address - Phone:518-478-9942
Practice Address - Fax:518-439-5612
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02135248Medicare ID - Type Unspecified