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NPI Code Detail

MEDICARE: ALEXIS NOELLE MIEREK

MEDICARE: ALEXIS NOELLE MIEREK
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
1183500000XPharmacistPCT.0016730CT

General Provider Information

NPI Number : 1942194154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NOELLE MIEREK
Provider Business Mailing Address
First Line : 28 PEACH ORCHARD RD
Second Line :
City : PROSPECT
State : CT
Zip : 06712-1050
Country : US
Telephone Number : 315-725-0045
Fax Number :
Provider Business Practice Location Address
First Line : 775 MAIN ST S
Second Line :
City : SOUTHBURY
State : CT
Zip : 06488-2271
Country : US
Telephone Number : 203-262-1477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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Directions to “ ALEXIS NOELLE MIEREK ” Practice Location

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