Provider Demographics
NPI:1932405271
Name:ALVARADO, JAVI ISABEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAVI
Middle Name:ISABEL
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 E 10TH ST APT 205
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6912
Mailing Address - Country:US
Mailing Address - Phone:561-385-3443
Mailing Address - Fax:
Practice Address - Street 1:500 S WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3727
Practice Address - Country:US
Practice Address - Phone:931-525-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN456443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN45644OtherPHARMACIST LICENSE