NPI 1497438592

Alfred Ignacio Avila

Practitioner Pharmacy Technician Fort Lauderdale, FL

Practice location

Address: 3895 W Broward Blvd, Fort Lauderdale, FL 33312-1017
Phone: (954) 316-6641

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence RPT78525 (FL)

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Registry record

NPI: 1497438592
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2023
Record last updated: 8 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.