Individual
ANNIE ALEXEENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14861 DETROIT AVE, LAKEWOOD, OH 44107-3909
(216) 521-2191
Mailing address
14861 DETROIT AVE, LAKEWOOD, OH 44107-3909
(216) 521-2191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03440158
OH
Other
Enumeration date
11/18/2020
Last updated
12/06/2021
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