Healthcare Provider Details

I. General information

NPI: 1114149952
Provider Name (Legal Business Name): ROYNI ALVAREZ PHARM-D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 SOUTH MILITARY TRAIL
WEST PALM BEACH FL
33415
US

IV. Provider business mailing address

469 PINE TREE CT.
ATLANTIS FL
33462
US

V. Phone/Fax

Practice location:
  • Phone: 561-964-7377
  • Fax:
Mailing address:
  • Phone: 561-965-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS0034249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: