Healthcare Provider Details

I. General information

NPI: 1053070839
Provider Name (Legal Business Name): ALEXANDRIA MAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR DR SE
ATLANTA GA
30303-3050
US

IV. Provider business mailing address

701 HIGHLAND AVE NE APT 2332
ATLANTA GA
30312-1491
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-1000
  • Fax: 404-489-6976
Mailing address:
  • Phone: 864-992-9334
  • Fax: 404-489-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH030814
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: