Provider Demographics
NPI:1447387683
Name:ALLEX, CARNITA RAE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARNITA
Middle Name:RAE
Last Name:ALLEX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:205 6TH ST.
Mailing Address - City:DANUBE
Mailing Address - State:MN
Mailing Address - Zip Code:56230-0073
Mailing Address - Country:US
Mailing Address - Phone:320-826-2489
Mailing Address - Fax:
Practice Address - Street 1:301 BECKER AVE SW
Practice Address - Street 2:ATTN PHARMACY
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3302
Practice Address - Country:US
Practice Address - Phone:320-231-4671
Practice Address - Fax:320-231-4850
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist