Provider Demographics
NPI:1346964202
Name:OROZCO, ALEXIS LUCIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LUCIA
Last Name:OROZCO
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 1:9047 COVENTRY CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-4704
Mailing Address - Country:US
Mailing Address - Phone:915-613-6243
Mailing Address - Fax:
Practice Address - Street 1:5900 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4604
Practice Address - Country:US
Practice Address - Phone:915-884-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist