Provider Demographics
NPI:1881019289
Name:GVALEVECH, EDWIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:
Last Name:GVALEVECH
Suffix:
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 1:3643 PECK RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3530
Mailing Address - Country:US
Mailing Address - Phone:626-442-7868
Mailing Address - Fax:
Practice Address - Street 1:3643 PECK RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3530
Practice Address - Country:US
Practice Address - Phone:626-442-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-22
Last Update Date:2014-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist