Provider Demographics
NPI:1538474556
Name:ALEXANDER, NIKKI LOUISE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LOUISE
Last Name:ALEXANDER
Suffix:
Gender:F
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 1:21738 HARDY OAK
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4863
Mailing Address - Country:US
Mailing Address - Phone:210-496-8050
Mailing Address - Fax:210-496-8970
Practice Address - Street 1:21738 HARDY OAK
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4863
Practice Address - Country:US
Practice Address - Phone:210-496-8050
Practice Address - Fax:210-496-8970
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist