Provider Demographics
NPI:1295027951
Name:OLIFER, IRINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:OLIFER
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 1:19 AVE. AT PORT IMPERIAL
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-3599
Mailing Address - Country:US
Mailing Address - Phone:201-272-1171
Mailing Address - Fax:201-867-1976
Practice Address - Street 1:19 AVE. AT PORT IMPERIAL
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-3599
Practice Address - Country:US
Practice Address - Phone:201-272-1171
Practice Address - Fax:201-867-1976
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03288500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist