Provider Demographics
NPI:1316541527
Name:ALVI, SALAHUDDIN (RPH)
Entity Type:Individual
Prefix:
First Name:SALAHUDDIN
Middle Name:
Last Name:ALVI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 E US HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8622
Mailing Address - Country:US
Mailing Address - Phone:972-552-1634
Mailing Address - Fax:972-552-3952
Practice Address - Street 1:775 E US HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8622
Practice Address - Country:US
Practice Address - Phone:972-552-1634
Practice Address - Fax:972-552-3952
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist