Provider Demographics
NPI:1750043691
Name:D'ALESSANDRO, ANTHONY III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:D'ALESSANDRO
Suffix:III
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 1:50 PALATINE APT 403
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-5630
Mailing Address - Country:US
Mailing Address - Phone:949-691-6519
Mailing Address - Fax:
Practice Address - Street 1:527 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3630
Practice Address - Country:US
Practice Address - Phone:949-991-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist