Doctor Name: | DR. NANCY ALAVANJA |
NPI Number: | 1245694470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | 26020858A |
Business Practice Address: | 4430 Missouri Ave Fort Leonard Wood, MO - 654739098 |
Business Phone Number: | 5735960647 |
Business Fax Number: | 5735960040 |
Mailing Address: | 4430 Missouri Ave, FORT LEONARD WOOD |
State: | MO |
Postal Code: | 654739098 |
Phone Number: | 5735960647 |
Fax Number: | 5735960040 |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 26020858A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |