Individual
ANDREW ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 N HIGHWAY 165, PROVIDENCE, UT 84332-6700
(435) 752-1111
Mailing address
4450 W 1600 N, PLAIN CITY, UT 84404-9197
(801) 731-3148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5711268-1701
UT
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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