Provider Demographics
NPI:1558703256
Name:PLESNARSKI, JOSEPH JOHN (RPH)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:PLESNARSKI
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 1:91 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5557
Mailing Address - Country:US
Mailing Address - Phone:973-633-9248
Mailing Address - Fax:
Practice Address - Street 1:91 TIMBERLINE DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5557
Practice Address - Country:US
Practice Address - Phone:973-633-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01445500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist