Provider Demographics
NPI:1528127743
Name:ALVAREZ, GOAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GOAR
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 SW 88TH TER
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5164
Mailing Address - Country:US
Mailing Address - Phone:305-608-2459
Mailing Address - Fax:
Practice Address - Street 1:3200 S. UNIVERSITY DRIVE
Practice Address - Street 2:NSU - COLLEGE OF PHARMACY
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-1383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS15028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist