Provider Demographics
NPI:1619629797
Name:SILVA, ALBERTO L (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:L
Last Name:SILVA
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 1:4850 E STREET RD
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6600
Mailing Address - Country:US
Mailing Address - Phone:973-564-8004
Mailing Address - Fax:866-581-1351
Practice Address - Street 1:4850 E STREET RD
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6600
Practice Address - Country:US
Practice Address - Phone:973-564-8004
Practice Address - Fax:866-581-1351
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist