Provider Demographics
NPI:1235588393
Name:OBERLENDER, ALAN STEVEN (MSPHARM, CPH, PRS)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:STEVEN
Last Name:OBERLENDER
Suffix:
Gender:M
Credentials:MSPHARM, CPH, PRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 MARICAMP RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2813
Mailing Address - Country:US
Mailing Address - Phone:352-687-3611
Mailing Address - Fax:
Practice Address - Street 1:6851 SE MARICAMP RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2813
Practice Address - Country:US
Practice Address - Phone:352-687-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS14585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist