Healthcare Provider Details

I. General information

NPI: 1235603135
Provider Name (Legal Business Name): HARDEEP KAUR ALVAREZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 MANGROVE AVE
CHICO CA
95926-3947
US

IV. Provider business mailing address

2003 NAND DR
YUBA CITY CA
95993-8320
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-6722
  • Fax:
Mailing address:
  • Phone: 530-329-1736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: