Provider Demographics
NPI:1467185397
Name:STURDIVANT, ALEX (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:
Last Name:STURDIVANT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 PRESERVE PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-4250
Mailing Address - Country:US
Mailing Address - Phone:205-332-3888
Mailing Address - Fax:
Practice Address - Street 1:610 PRESERVE PKWY STE 160
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-4250
Practice Address - Country:US
Practice Address - Phone:205-332-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL203723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy