Individual
ALEXIS SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1327 PLAZA E, CHARLESTON, WV 25301-1405
(304) 343-9497
Mailing address
5332 LURAY LN, CROSS LANES, WV 25313-1222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12167
WV
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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