Provider Demographics
NPI:1073772117
Name:FLORES, ANGEL ALARCON (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:ALARCON
Last Name:FLORES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5989 QUINTESSA DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-2838
Mailing Address - Country:US
Mailing Address - Phone:775-354-2328
Mailing Address - Fax:775-354-2328
Practice Address - Street 1:2035 N CARSON ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-2248
Practice Address - Country:US
Practice Address - Phone:775-882-2110
Practice Address - Fax:775-882-6287
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist