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NPI Code Detail

MEDICARE: ALEXIS BUBP PHARMD

MEDICARE:   ALEXIS  BUBP  PHARMD
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
1183500000XPharmacist26030867AIN

General Provider Information

NPI Number : 1730911785
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS BUBP PHARMD
Provider Business Mailing Address
First Line : PO BOX 612
Second Line :
City : FORT RECOVERY
State : OH
Zip : 45846-0612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 N WALNUT ST
Second Line :
City : HARTFORD CITY
State : IN
Zip : 47348-1358
Country : US
Telephone Number : 765-348-4134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2024
Last Update Date : 08/19/2024

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Directions to “ ALEXIS BUBP PHARMD” Practice Location

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