Provider Demographics
NPI:1841502002
Name:ALIBRANDO, MARK D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:ALIBRANDO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SANSOM LN
Mailing Address - Street 2:
Mailing Address - City:DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5169
Mailing Address - Country:US
Mailing Address - Phone:856-845-6825
Mailing Address - Fax:856-629-7810
Practice Address - Street 1:1881 N BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3464
Practice Address - Country:US
Practice Address - Phone:856-629-0500
Practice Address - Fax:856-629-7810
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-04
Last Update Date:2010-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03007700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist