Healthcare Provider Details

I. General information

NPI: 1285841668
Provider Name (Legal Business Name): ALEC MERCER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4004 FOOTHILLS BLVD
ROSEVILLE CA
95747
US

IV. Provider business mailing address

408 CHINA ROSE CT
LINCOLN CA
95648-8293
US

V. Phone/Fax

Practice location:
  • Phone: 916-786-8671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 53571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: