Healthcare Provider Details

I. General information

NPI: 1124356548
Provider Name (Legal Business Name): DENISE ALEXANDER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 N READING RD STE 9
EPHRATA PA
17522-1647
US

IV. Provider business mailing address

201 E CHESTNUT ST
LANCASTER PA
17602-2705
US

V. Phone/Fax

Practice location:
  • Phone: 717-721-5784
  • Fax: 717-733-0025
Mailing address:
  • Phone: 717-393-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP443629
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: