Individual
MRS. KATHY ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
31 SHERWOOD BLVD, LOS ALAMOS, NM 87544-3730
(505) 672-9457
(505) 672-1519
Mailing address
109A FIN DEL SENDERO, SANTA FE, NM 87506
(505) 471-0725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-6151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-6151
NMBOP LICENSE #
NM
Enumeration date
04/23/2007
Last updated
07/08/2007
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