Provider Demographics
NPI:1730263047
Name:MEYER, ALFRED LEE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:LEE
Last Name:MEYER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4102 WILLIWAW DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3278
Mailing Address - Country:US
Mailing Address - Phone:949-786-0962
Mailing Address - Fax:949-786-0055
Practice Address - Street 1:4102 WILLIWAW DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3278
Practice Address - Country:US
Practice Address - Phone:949-786-0962
Practice Address - Fax:949-786-0055
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH298901835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric