Provider Demographics
NPI:1417384678
Name:MUNOZ, ALEXANDER PEREZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:PEREZ
Last Name:MUNOZ
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 1:1624 PASEO DEL LAGO
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6269
Mailing Address - Country:US
Mailing Address - Phone:650-452-2922
Mailing Address - Fax:559-684-1353
Practice Address - Street 1:1110 E PROSPERITY AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-8029
Practice Address - Country:US
Practice Address - Phone:559-684-1326
Practice Address - Fax:559-684-1353
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2015-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63065183500000X
IL051293204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist