Individual
ALEXIS KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1220 15TH ST N APT 2, SAINT CLOUD, MN 56303-1803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
127372
MN
183500000X
Pharmacist
7346
SD
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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