Healthcare Provider Details

I. General information

NPI: 1144002023
Provider Name (Legal Business Name): ABIGAIL MARIE ALEXANDER PHARMD, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 N GATEWAY AVE UNIT 2
HARRIMAN TN
37748-8709
US

IV. Provider business mailing address

2305 N GATEWAY AVE UNIT 2
HARRIMAN TN
37748-8709
US

V. Phone/Fax

Practice location:
  • Phone: 865-353-4813
  • Fax: 865-882-0099
Mailing address:
  • Phone: 865-353-4813
  • Fax: 865-882-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48132
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP10922
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: