Provider Demographics
NPI:1265706535
Name:ANDREWS, ALVIN JOHN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:JOHN
Last Name:ANDREWS
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 OLD STEESE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3138
Mailing Address - Country:US
Mailing Address - Phone:907-459-4233
Mailing Address - Fax:907-459-4227
Practice Address - Street 1:930 OLD STEESE HWY
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3138
Practice Address - Country:US
Practice Address - Phone:907-459-4233
Practice Address - Fax:907-459-4227
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist