Provider Demographics
NPI:1164742177
Name:ORAVETZ, ALICE (RPH)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:ORAVETZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 TRYON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7157
Mailing Address - Country:US
Mailing Address - Phone:919-851-6686
Mailing Address - Fax:
Practice Address - Street 1:8010 TRYON WOODS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7157
Practice Address - Country:US
Practice Address - Phone:919-851-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist