Provider Demographics
NPI:1568171726
Name:DURLAND, ALEXANDRIA (PHARMD, BSHS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:DURLAND
Suffix:
Gender:F
Credentials:PHARMD, BSHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:ME
Mailing Address - Zip Code:04257-1659
Mailing Address - Country:US
Mailing Address - Phone:207-357-2682
Mailing Address - Fax:
Practice Address - Street 1:302 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:ME
Practice Address - Zip Code:04468-1535
Practice Address - Country:US
Practice Address - Phone:207-827-8021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR71078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist