Anthony Walter Alexander Jr., PHARMACIST

Individual provider Active NPI Pharmacist · East Brunswick, NJ

NPI 1164025979 · NPPES record last updated Nov 16, 2020

Key facts

NPI
1164025979
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI01415800 (NJ)
Practice address
290 Highway 18
East Brunswick, NJ 08816-1995
Phone
(732) 387-1062
Fax
(732) 387-1061
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RI01415800NJMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01415800 NJ Yes

Addresses

Primary practice location

290 Highway 18
East Brunswick, NJ 08816-1995

Mailing address

290 Highway 18
East Brunswick, NJ 08816-1995
Phone (732) 387-1062

Other providers in East Brunswick, NJ

All providers in East Brunswick, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.