Individual
MATTHEW ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 N BISHOP AVE, ROLLA, MO 65401-2989
(573) 308-4887
(573) 308-8010
Mailing address
500 N BISHOP AVE, ROLLA, MO 65401-2989
(573) 308-4887
(573) 308-4887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014021077
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014021077
PHARMACIST LICENSE
MO
Enumeration date
11/28/2020
Last updated
11/28/2020
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