Provider Demographics
NPI:1578095337
Name:ALVES, VICTOR (PHARMD, BCGP, FASCP)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:ALVES
Suffix:
Gender:M
Credentials:PHARMD, BCGP, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CHURCH ST STE 90-163
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1929
Mailing Address - Country:US
Mailing Address - Phone:508-284-9974
Mailing Address - Fax:508-598-0409
Practice Address - Street 1:125 CHURCH ST STE 90-163
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1929
Practice Address - Country:US
Practice Address - Phone:508-284-9974
Practice Address - Fax:508-598-0409
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235901835G0303X
FLPS448051835G0303X
RIRPH048881835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric