Individual
MR. JOHN ROBERT ALVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
66 STATE ROAD 344, EDGEWOOD, NM 87015-6849
(505) 286-3053
(505) 286-3055
Mailing address
66 STATE ROAD 344, EDGEWOOD, NM 87015-6849
(505) 286-3053
(505) 286-3055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004758
NM
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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