MEDICARE: NAFISA ALVI

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	2009011777	MO

General Provider Information

NPI Number	:	1932868239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAFISA ALVI

Provider Business Mailing Address
First Line	:	8915 SAINT CHARLES ROCK RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63114-4237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8915 SAINT CHARLES ROCK RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63114-4237
Country	:	US
Telephone Number	:	314-427-2090
Fax Number	:

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

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	12/14/2021

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