Provider Demographics
NPI:1598171688
Name:KOSTOVA, ALEXANDRINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRINA
Middle Name:
Last Name:KOSTOVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA
Mailing Address - Street 2:APT 2040
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6600
Mailing Address - Country:US
Mailing Address - Phone:412-759-4588
Mailing Address - Fax:
Practice Address - Street 1:10653 N SCOTTSDALE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5263
Practice Address - Country:US
Practice Address - Phone:480-998-3500
Practice Address - Fax:480-998-0290
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist