Healthcare Provider Details

I. General information

NPI: 1326329756
Provider Name (Legal Business Name): ALICE M FOX RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 E 1ST ST
PRATT KS
67124-2060
US

IV. Provider business mailing address

1108 E 1ST ST
PRATT KS
67124-2060
US

V. Phone/Fax

Practice location:
  • Phone: 620-672-5584
  • Fax: 620-672-0508
Mailing address:
  • Phone: 620-672-5584
  • Fax: 620-672-0508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number44602
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1-11349
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44602
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: