Provider Demographics
NPI:1386409803
Name:CHRISTOFANO ASSOCIATES LLC
Entity type:Organization
Organization Name:CHRISTOFANO ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHRISTOFANO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-840-2181
Mailing Address - Street 1:2792 STATE ROUTE 982
Mailing Address - Street 2:CORPORATE OFFICE
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666
Mailing Address - Country:US
Mailing Address - Phone:724-840-2181
Mailing Address - Fax:724-424-1910
Practice Address - Street 1:505 N 4TH ST
Practice Address - Street 2:
Practice Address - City:YOUNGWOOD
Practice Address - State:PA
Practice Address - Zip Code:15697-1559
Practice Address - Country:US
Practice Address - Phone:724-925-1400
Practice Address - Fax:724-925-1430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTOFANO ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty