Individual
ALEXIS GAGGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 E BEVERLY AVE, STE 107, KINGMAN, AZ 86409-3593
(928) 681-8738
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(328) 681-8738
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
2010031678
MO
1835P2201X
Ambulatory Care Pharmacist
RP445567
PA
1835P2201X
Ambulatory Care Pharmacist
RPH.03335159-3
OH
1835P2201X
Ambulatory Care Pharmacist
S022273
AZ
Other
Enumeration date
01/14/2016
Last updated
02/10/2017
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