Provider Demographics
NPI:1093209496
Name:MAYER, ARIEL RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:RENEE
Last Name:MAYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1121
Mailing Address - Country:US
Mailing Address - Phone:732-291-5900
Mailing Address - Fax:732-708-0161
Practice Address - Street 1:21 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1121
Practice Address - Country:US
Practice Address - Phone:732-291-5900
Practice Address - Fax:732-708-0161
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03675000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist