Provider Demographics
NPI:1558881607
Name:HADLEY, ALEXIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:HADLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55663 SPLINTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PERDIDO
Mailing Address - State:AL
Mailing Address - Zip Code:36562-3150
Mailing Address - Country:US
Mailing Address - Phone:251-591-8247
Mailing Address - Fax:
Practice Address - Street 1:1095 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-3719
Practice Address - Country:US
Practice Address - Phone:251-591-8247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist