Healthcare Provider Details

I. General information

NPI: 1912213547
Provider Name (Legal Business Name): ALEXANDER D PELKEY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MILTON RD
ROCHESTER NH
03868-8615
US

IV. Provider business mailing address

104 MILTON RD
ROCHESTER NH
03868-8615
US

V. Phone/Fax

Practice location:
  • Phone: 603-335-7851
  • Fax: 603-335-5393
Mailing address:
  • Phone: 603-335-7851
  • Fax: 603-335-5393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3643
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: