Provider Demographics
NPI:1225488265
Name:ALVES, MARY (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ALVES
Suffix:
Gender:F
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 1:1815 MERLOT DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5448
Mailing Address - Country:US
Mailing Address - Phone:484-894-6195
Mailing Address - Fax:
Practice Address - Street 1:3036 EMRICK BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8018
Practice Address - Country:US
Practice Address - Phone:877-734-5250
Practice Address - Fax:877-734-5255
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist