Individual
ALEXIS CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
425 WASHINGTON ST APT 409, KANSAS CITY, MO 64105-1115
(224) 430-2438
Mailing address
425 WASHINGTON ST APT 409, KANSAS CITY, MO 64105-1115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020026741
MO
183500000X
Pharmacist
51303152
IL
183500000X
Pharmacist
60969465
WA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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