Provider Demographics
NPI:1568130177
Name:OLVERA ALVAREZ, IRVIN EDUARDO (PHARMD)
Entity type:Individual
Prefix:
First Name:IRVIN
Middle Name:EDUARDO
Last Name:OLVERA ALVAREZ
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 S HAMPTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-2368
Mailing Address - Country:US
Mailing Address - Phone:972-704-8248
Mailing Address - Fax:
Practice Address - Street 1:322 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5617
Practice Address - Country:US
Practice Address - Phone:888-478-8432
Practice Address - Fax:469-629-1179
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61178472183500000X
TX70127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist