Provider Demographics
NPI:1114030772
Name:HERR, ELIZABETH ALVAREZ (RPH)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ALVAREZ
Last Name:HERR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3673 SW 161ST TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4506
Mailing Address - Country:US
Mailing Address - Phone:954-438-6625
Mailing Address - Fax:305-575-3386
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-3102
Practice Address - Fax:305-575-3386
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist