Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRE IVANOV
Active Sole ProprietorALEXANDRE IVANOV is a Nutrition Support Pharmacist healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1851269823 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1851269823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2025 (0.81225972954769 yrs)
- Last Updated
- Oct 29, 2025
- License
-
RPH029265 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2512 YOUNG AMERICA DRLAWRENCEVILLE, GA, 300438002Browse GA providers · Browse ZIP 30043
- Phone
- 9092244220
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.