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Individual

ALEXIS THATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2 HEALTH CENTER DR, ATHENS, OH 45701-2907
(740) 593-4738
Mailing address
75 HOSPITAL DR STE 130, ATHENS, OH 45701-2858
(740) 566-4690
(740) 566-4691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337602
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123456789
N/A
Enumeration date
12/17/2019
Last updated
02/26/2021
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