Healthcare Provider Details

I. General information

NPI: 1316924111
Provider Name (Legal Business Name): HEATHER J. ALEXANDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S GRAHAM HOPEDALE RD
BURLINGTON NC
27217-4322
US

IV. Provider business mailing address

530 S GRAHAM HOPEDALE RD
BURLINGTON NC
27217-4322
US

V. Phone/Fax

Practice location:
  • Phone: 336-226-1922
  • Fax:
Mailing address:
  • Phone: 336-226-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17233
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: