Provider Demographics
NPI:1578844619
Name:CHERVINSKY, ALEX (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:CHERVINSKY
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 1:1853 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8946
Mailing Address - Country:US
Mailing Address - Phone:855-472-1894
Mailing Address - Fax:800-419-2801
Practice Address - Street 1:1853 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8946
Practice Address - Country:US
Practice Address - Phone:855-472-1894
Practice Address - Fax:800-419-2801
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist