Provider Demographics
NPI:1003219577
Name:VALENTINO, ALEXA SEVIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:SEVIN
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:
Other - Last Name:SEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2780 AIRPORT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2289
Mailing Address - Country:US
Mailing Address - Phone:614-859-1900
Mailing Address - Fax:614-645-5517
Practice Address - Street 1:3433 AGLER RD STE 2800
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:614-645-5500
Practice Address - Fax:614-645-1347
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031321461835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care