Provider Demographics
NPI:1346496833
Name:ALEXANDER, ELLEN NORMA SIEVERS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:NORMA SIEVERS
Last Name:ALEXANDER
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 1:757 187TH PL
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-7953
Mailing Address - Country:US
Mailing Address - Phone:319-621-2485
Mailing Address - Fax:
Practice Address - Street 1:1229 C AVE E STE 100
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-4246
Practice Address - Country:US
Practice Address - Phone:641-672-3144
Practice Address - Fax:641-672-3146
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist