MEDICARE: ALEXANDRA DROGS

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	390200000X	Student in an Organized Health Care Education/Training Program	5302044248	MI

General Provider Information

NPI Number	:	1457868747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA DROGS

Provider Business Mailing Address
First Line	:	7433 GLENGROVE DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3871
Country	:	US
Telephone Number	:	248-932-0225
Fax Number	:

Provider Business Practice Location Address
First Line	:	7433 GLENGROVE DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3871
Country	:	US
Telephone Number	:	248-932-0225
Fax Number	:

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

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	01/08/2018

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Directions to “ ALEXANDRA DROGS ” Practice Location

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