Provider Demographics
NPI:1225629793
Name:SOSTAND, ALEXANDRIA ARIEL-DESHAY
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:ARIEL-DESHAY
Last Name:SOSTAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 RAYFORD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4343
Mailing Address - Country:US
Mailing Address - Phone:281-353-2420
Mailing Address - Fax:866-590-3769
Practice Address - Street 1:3540 RAYFORD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4343
Practice Address - Country:US
Practice Address - Phone:281-353-2420
Practice Address - Fax:866-590-3769
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician