Provider Demographics
NPI:1538485479
Name:FINZIMER, ALAN J
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:FINZIMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BUSTLETON PIKE
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1360
Mailing Address - Country:US
Mailing Address - Phone:215-357-1345
Mailing Address - Fax:215-396-2305
Practice Address - Street 1:800 BUSTLETON PIKE
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1360
Practice Address - Country:US
Practice Address - Phone:215-357-1345
Practice Address - Fax:215-396-2305
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026962L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist