Provider Demographics
NPI:1114294394
Name:BERNSTEIN, ALVIN JOEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:JOEL
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5041 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-4302
Mailing Address - Country:US
Mailing Address - Phone:952-939-0993
Mailing Address - Fax:
Practice Address - Street 1:540 BLAKE RD N
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8123
Practice Address - Country:US
Practice Address - Phone:952-938-1168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115515183500000X
CA28887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist