Healthcare Provider Details

I. General information

NPI: 1245150069
Provider Name (Legal Business Name): ALEXANDRA ORELLANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10267 DANSKIN DR
LAS VEGAS NV
89166-2506
US

IV. Provider business mailing address

10267 DANSKIN DR
LAS VEGAS NV
89166-2506
US

V. Phone/Fax

Practice location:
  • Phone: 702-606-8338
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberIN05995
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: