Provider Demographics
NPI:1750260774
Name:TIGER, ALEXIS MARNELL (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MARNELL
Last Name:TIGER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 KAYHARTS LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4301
Mailing Address - Country:US
Mailing Address - Phone:908-310-6409
Mailing Address - Fax:
Practice Address - Street 1:2 CLUB HOUSE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-2209
Practice Address - Country:US
Practice Address - Phone:908-835-0781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04454200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist