Healthcare Provider Details

I. General information

NPI: 1073145488
Provider Name (Legal Business Name): ALEXA CHRISTINE ANDRAOS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N ROBERTSON BLVD
BEVERLY HILLS CA
90211-1788
US

IV. Provider business mailing address

250 N ROBERTSON BLVD STE 601
BEVERLY HILLS CA
90211-1793
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-3534
  • Fax: 310-385-3577
Mailing address:
  • Phone: 310-385-3534
  • Fax: 310-385-3577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number81285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: