Provider Demographics
NPI:1851996862
Name:ALVAREZ, MAGALY ELENA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAGALY
Middle Name:ELENA
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 1:15395 NW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6478
Mailing Address - Country:US
Mailing Address - Phone:305-364-1143
Mailing Address - Fax:305-364-1899
Practice Address - Street 1:15395 NW 82ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-6478
Practice Address - Country:US
Practice Address - Phone:305-364-1143
Practice Address - Fax:305-364-1899
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist