Provider Demographics
NPI:1871810887
Name:IRONS, ALBERT GEORGE III (RPH)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:GEORGE
Last Name:IRONS
Suffix:III
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 1:1726 RTE 37 E
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-8237
Mailing Address - Country:US
Mailing Address - Phone:732-929-1199
Mailing Address - Fax:732-929-4556
Practice Address - Street 1:1726 RTE 37 E
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8237
Practice Address - Country:US
Practice Address - Phone:732-929-1199
Practice Address - Fax:732-929-4556
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI015016001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI01501600OtherSTATE OF NEW JERSEY