Individual
TIBURCIO ALVAREZ JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3615 CRATER LAKE HWY, MEDFORD, OR 97504-9259
(541) 227-5403
Mailing address
3615 CRATER LAKE HWY, MEDFORD, OR 97504-9259
(541) 227-5403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44120
CA
183500000X
Pharmacist
Primary
8099
OR
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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