Provider Demographics
NPI:1962006130
Name:ALWOOD, ELIZABETH LIVINGSTON
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LIVINGSTON
Last Name:ALWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3133
Mailing Address - Country:US
Mailing Address - Phone:386-427-5244
Mailing Address - Fax:386-423-5782
Practice Address - Street 1:615 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3133
Practice Address - Country:US
Practice Address - Phone:386-427-5244
Practice Address - Fax:386-423-5782
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist