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NPI Code Detail

MEDICARE: IRVIN EDUARDO OLVERA ALVAREZ PHARMD

MEDICARE: IRVIN EDUARDO OLVERA ALVAREZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist61178472WA
2183500000XPharmacist70127TX

General Provider Information

NPI Number : 1568130177
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRVIN EDUARDO OLVERA ALVAREZ PHARMD
Provider Business Mailing Address
First Line : 2701 S HAMPTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75224-2368
Country : US
Telephone Number : 972-704-8248
Fax Number :
Provider Business Practice Location Address
First Line : 322 S HAMPTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75208-5617
Country : US
Telephone Number : 888-478-8432
Fax Number : 469-629-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 03/06/2025

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