Provider Demographics
NPI:1053757385
Name:ALNASSERI, SAIF (RPH)
Entity type:Individual
Prefix:
First Name:SAIF
Middle Name:
Last Name:ALNASSERI
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 1:1147 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-1934
Mailing Address - Country:US
Mailing Address - Phone:908-757-7703
Mailing Address - Fax:
Practice Address - Street 1:1147 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-1934
Practice Address - Country:US
Practice Address - Phone:908-757-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03555700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI03555700OtherNEW JERSEY BOARD OF PHARMACY