MEDICARE: LAURIE ALEXIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202223358	VA

General Provider Information

NPI Number	:	1457210221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ALEXIS

Provider Business Mailing Address
First Line	:	536 GATEWAY CENTRE PKWY APT 304
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5164
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 BUFORD RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3422
Country	:	US
Telephone Number	:	804-272-1423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ LAURIE ALEXIS ” Practice Location

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