Stephanie Guadalupe Alvarez

Individual provider Active NPI Pharmacy Technician · Artesia, CA

NPI 1154078095 · NPPES record last updated Mar 9, 2022

Key facts

NPI
1154078095
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
TCH162610 (CA)
Practice address
11833 167TH St
Artesia, CA 90701-1818
Phone
(562) 281-2713
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TCH162610CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Care Pharmacy Inc Past
since Mar 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH162610 CA Yes

Addresses

Primary practice location

11833 167TH St
Artesia, CA 90701-1818

Mailing address

947 S Anaheim Blvd Ste 108
Anaheim, CA 92805-5583
Phone (714) 533-2157

Other providers in Artesia, CA

All providers in Artesia, CA · Pharmacy Technician in California

Sources for this page

Verify at the official NPI Registry.