Provider Demographics
NPI:1508869041
Name:BURKE, ALEXIS MARIE (MS, PHARMD)
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:MARIE
Last Name:BURKE
Suffix:
Gender:F
Credentials:MS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 LETICOE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2418
Mailing Address - Country:US
Mailing Address - Phone:412-481-6508
Mailing Address - Fax:
Practice Address - Street 1:2134 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1904
Practice Address - Country:US
Practice Address - Phone:412-431-5755
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043255L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist