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NPI Code Detail

MEDICARE: MR. GEORGE ALEXIS MS R.PH.

MEDICARE:  MR. GEORGE  ALEXIS  MS R.PH.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist14904MA

General Provider Information

NPI Number : 1932154747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE ALEXIS MS R.PH.
Provider Business Mailing Address
First Line : 45 SETTLERS PATH
Second Line :
City : MARSHFIELD
State : MA
Zip : 02050-5616
Country : US
Telephone Number : 781-834-6749
Fax Number :
Provider Business Practice Location Address
First Line : 150 S HUNTINGTON AVE
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-4817
Country : US
Telephone Number : 857-364-4312
Fax Number : 857-364-4506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/20/2016

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Directions to “ MR. GEORGE ALEXIS MS R.PH.” Practice Location

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