Healthcare Provider Details

I. General information

NPI: 1932025962
Provider Name (Legal Business Name): SAWYER ALEXANDER EZZELL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 MIAMI AVE
MADEIRA OH
45243-2632
US

IV. Provider business mailing address

511 HOOVEN AVE
HOOVEN OH
45033-7649
US

V. Phone/Fax

Practice location:
  • Phone: 513-272-3409
  • Fax:
Mailing address:
  • Phone: 513-390-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446790
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: