Provider Demographics
NPI:1982694212
Name:PYTLARZ, ALEXANDER MARCEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MARCEL
Last Name:PYTLARZ
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 1:4303 DEER KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3012
Mailing Address - Country:US
Mailing Address - Phone:813-681-4564
Mailing Address - Fax:813-681-4564
Practice Address - Street 1:905 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1245
Practice Address - Country:US
Practice Address - Phone:941-739-9974
Practice Address - Fax:941-757-0586
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist