Provider Demographics
NPI:1346589702
Name:ALDERFER, JOEL K (RPH)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:K
Last Name:ALDERFER
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 1:810 DELONG RD
Mailing Address - Street 2:
Mailing Address - City:ALBURTIS
Mailing Address - State:PA
Mailing Address - Zip Code:18011-2119
Mailing Address - Country:US
Mailing Address - Phone:610-845-1072
Mailing Address - Fax:
Practice Address - Street 1:931 MAIN ST
Practice Address - Street 2:
Practice Address - City:PENNSBURG
Practice Address - State:PA
Practice Address - Zip Code:18073-1603
Practice Address - Country:US
Practice Address - Phone:215-679-9700
Practice Address - Fax:215-679-5410
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042410L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP042410LOtherSTATE BOARD OF PHARMACY