Individual
ALEXANDER MILLS
Active
Individual
ALEXANDER MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26027074A
IN
1835P2201X
Ambulatory Care Pharmacist
Primary
T-15609
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-15609
PHARMACY LICENSE
MS
Enumeration date
07/28/2017
Last updated
07/27/2020
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