Provider Demographics
NPI:1750043691
Name:D'ALESSANDRO, ANTHONY III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:D'ALESSANDRO
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31654 RANCHO VIEJO RD STE N
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-2775
Mailing Address - Country:US
Mailing Address - Phone:949-429-5326
Mailing Address - Fax:949-429-5328
Practice Address - Street 1:31654 RANCHO VIEJO RD STE N
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-2775
Practice Address - Country:US
Practice Address - Phone:949-429-5326
Practice Address - Fax:949-429-5328
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist