Provider Demographics
NPI:1396415519
Name:ALVAREZ, ALDO FELIPE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALDO
Middle Name:FELIPE
Last Name:ALVAREZ
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 1:1900 DILL RD APT 36
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-5666
Mailing Address - Country:US
Mailing Address - Phone:424-215-4826
Mailing Address - Fax:
Practice Address - Street 1:1900 DILL RD APT 36
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-5666
Practice Address - Country:US
Practice Address - Phone:424-215-4826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist