Provider Demographics
NPI:1124169230
Name:AUSLANDER, MICFHAEL (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:MICFHAEL
Middle Name:
Last Name:AUSLANDER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1403
Mailing Address - Country:US
Mailing Address - Phone:973-781-9877
Mailing Address - Fax:973-781-9866
Practice Address - Street 1:434 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1403
Practice Address - Country:US
Practice Address - Phone:973-781-9877
Practice Address - Fax:973-781-9866
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ14839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist