Individual
ALEXANDER IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1145 OAKMONT PL, NIPOMO, CA 93444-5714
(805) 929-1732
Mailing address
1145 OAKMONT PL, NIPOMO, CA 93444-5714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28193
CA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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