Provider Demographics
NPI:1275119034
Name:STANLEY, ALEXANDRIA VICTORIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:VICTORIA
Last Name:STANLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:HAYSI
Mailing Address - State:VA
Mailing Address - Zip Code:24256-0515
Mailing Address - Country:US
Mailing Address - Phone:276-865-5135
Mailing Address - Fax:276-865-5006
Practice Address - Street 1:23906 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:HAYSI
Practice Address - State:VA
Practice Address - Zip Code:24256-5992
Practice Address - Country:US
Practice Address - Phone:276-865-5135
Practice Address - Fax:276-865-5006
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist