Individual
DR. SERGE ALEXANDER ALEXISHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10270 MILL RUN CIR, OWINGS MILLS, MD 21117-4214
(443) 501-7053
(443) 501-7044
Mailing address
10270 MILL RUN CIR, OWINGS MILLS, MD 21117-4214
(443) 501-7053
(443) 501-7044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27321
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
27321
MD
Other
Enumeration date
07/13/2020
Last updated
03/01/2021
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