Provider Demographics
NPI:1083975072
Name:PFEFFER, ALAN J (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:PFEFFER
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 1:50 RACE TRACK RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3728
Mailing Address - Country:US
Mailing Address - Phone:732-257-5151
Mailing Address - Fax:732-257-8794
Practice Address - Street 1:50 RACE TRACK RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3728
Practice Address - Country:US
Practice Address - Phone:732-257-5151
Practice Address - Fax:732-257-8794
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR15510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist