Provider Demographics
NPI:1629363171
Name:ALVAREZ, ANGELA CHI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CHI
Last Name:ALVAREZ
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 1:12930 WORLDGATE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-6032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12930 WORLDGATE DR STE 300
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-6032
Practice Address - Country:US
Practice Address - Phone:703-657-5488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020570183500000X
LAPST.023246183500000X
MI5302412062183500000X
MD26404183500000X
WVRP011822183500000X
VA0202218136183500000X
TN43052183500000X
MST-15967183500000X
GARPH031835183500000X
ARPD15216183500000X
AL20579183500000X
KS1-110023183500000X
TX48830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist