Provider Demographics
NPI:1033607619
Name:VLASIN-MORARIU, ALINA LAVINIA
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:LAVINIA
Last Name:VLASIN-MORARIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2544 APALACHEE RUN WAY
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-6710
Mailing Address - Country:US
Mailing Address - Phone:404-593-9358
Mailing Address - Fax:
Practice Address - Street 1:720 DACULA RD
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-7055
Practice Address - Country:US
Practice Address - Phone:770-822-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-28
Last Update Date:2018-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist