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NPI Code Detail

MEDICARE: ALEXIS RAE SCHOCH PHARM D

MEDICARE:   ALEXIS RAE SCHOCH  PHARM D
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
1183500000XPharmacist0202220645VA

General Provider Information

NPI Number : 1639806565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS RAE SCHOCH PHARM D
Provider Business Mailing Address
First Line : 103 COMMONWEALTH BLVD W
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1806
Country : US
Telephone Number : 276-632-6457
Fax Number :
Provider Business Practice Location Address
First Line : 103 COMMONWEALTH BLVD W
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1806
Country : US
Telephone Number : 276-632-6457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 08/02/2022

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Directions to “ ALEXIS RAE SCHOCH PHARM D” Practice Location

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