ALEXANDRE IVANOV

LAWRENCEVILLE, GA
NPI1851269823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835N1003X Pharmacist, Nutrition Support
(Licence: GA  RPH029265)
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
ALEXANDRE IVANOV
2512 YOUNG AMERICA DR
LAWRENCEVILLE, GA 30043-8002
Phone number: 909-224-4220
Mailing Address
ALEXANDRE IVANOV
2512 YOUNG AMERICA DR
LAWRENCEVILLE, GA 30043-8002
Phone number:
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