Healthcare Provider Details

I. General information

NPI: 1780293407
Provider Name (Legal Business Name): ALEXIS ROBINSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ROZZELLES FERRY RD
CHARLOTTE NC
28208-4228
US

IV. Provider business mailing address

1801 ROZZELLES FERRY RD
CHARLOTTE NC
28208-4228
US

V. Phone/Fax

Practice location:
  • Phone: 336-337-2926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number29768
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: