Provider Demographics
NPI:1215605647
Name:RHOADES, ALEXIA (CPHT)
Entity Type:Individual
Prefix:
First Name:ALEXIA
Middle Name:
Last Name:RHOADES
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 MAIN ST # 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-1447
Mailing Address - Country:US
Mailing Address - Phone:717-271-8004
Mailing Address - Fax:
Practice Address - Street 1:331 N READING RD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1652
Practice Address - Country:US
Practice Address - Phone:717-733-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF7Q6T9A9183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist