Provider Demographics
NPI:1932796604
Name:HE, ALEXIE (RPH)
Entity Type:Individual
Prefix:DR
First Name:ALEXIE
Middle Name:
Last Name:HE
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 1:45 BLUE STONE CIR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1341
Mailing Address - Country:US
Mailing Address - Phone:856-723-7535
Mailing Address - Fax:
Practice Address - Street 1:25 PEMBERTON BROWNS MILL RD
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-3112
Practice Address - Country:US
Practice Address - Phone:609-735-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI039513003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy