Provider Demographics
NPI:1659960359
Name:ALFORS, RALPH HERBERT
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:HERBERT
Last Name:ALFORS
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 1:32 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-1118
Mailing Address - Country:US
Mailing Address - Phone:609-267-1722
Mailing Address - Fax:609-267-1722
Practice Address - Street 1:32 CREEK RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-1118
Practice Address - Country:US
Practice Address - Phone:609-267-1722
Practice Address - Fax:609-267-1722
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01558800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist