Provider Demographics
NPI:1457649964
Name:ALVANOS, WENDY ANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ANN
Last Name:ALVANOS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 HARTHER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-9221
Mailing Address - Country:US
Mailing Address - Phone:252-626-7448
Mailing Address - Fax:910-267-0082
Practice Address - Street 1:206 SOUTH WEST CENTER STREET
Practice Address - Street 2:
Practice Address - City:FAISON
Practice Address - State:NC
Practice Address - Zip Code:28341
Practice Address - Country:US
Practice Address - Phone:910-267-0080
Practice Address - Fax:910-267-0082
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist