MEDICARE: DR. SAYRA CRESPO 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
1	183500000X	Pharmacist	PS41752	FL

General Provider Information

NPI Number	:	1518264795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAYRA CRESPO ALVAREZ PHARMD

Provider Business Mailing Address
First Line	:	6975 CONGRESS AVE
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-3799
Country	:	US
Telephone Number	:	561-964-9167
Fax Number	:	561-964-3975

Provider Business Practice Location Address
First Line	:	6975 CONGRESS AVE
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-3799
Country	:	US
Telephone Number	:	561-964-9167
Fax Number	:	561-964-3975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2011
Last Update Date	:	02/23/2011

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