Individual
HUGO ALEXIS ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 785-4100
Mailing address
451 W 300 N, BLACKFOOT, ID 83221-5462
(208) 206-5971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10386
ID
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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