Provider Demographics
NPI:1467235937
Name:SOMMER, ALEXIS (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SOMMER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 WOODCHASE LN APT E
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-9707
Mailing Address - Country:US
Mailing Address - Phone:330-232-2848
Mailing Address - Fax:
Practice Address - Street 1:1301 S 5TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2457
Practice Address - Country:US
Practice Address - Phone:636-946-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023033537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist