Individual
EDGARDO ALVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17877 CHESTERFIELD AIRPORT RD, CHESTERFIELD, MO 63005-1211
(636) 544-2475
Mailing address
19 MARSALLY DR, SAINT LOUIS, MO 63131-2429
(365) 442-4756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014028408
MO
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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