Provider Demographics
NPI:1770566002
Name:LEFIEF, MARC J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:J
Last Name:LEFIEF
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10681 E HIGHWAY 26
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95215-9579
Mailing Address - Country:US
Mailing Address - Phone:209-461-5486
Mailing Address - Fax:209-461-6890
Practice Address - Street 1:10681 E HIGHWAY 26
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95215-9579
Practice Address - Country:US
Practice Address - Phone:209-461-5486
Practice Address - Fax:209-461-6890
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36831183500000X, 1835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support