Provider Demographics
NPI:1609472745
Name:NORTON, ALEXANDRIA RAE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:RAE
Last Name:NORTON
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 1:101 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3822
Mailing Address - Country:US
Mailing Address - Phone:610-461-2171
Mailing Address - Fax:
Practice Address - Street 1:101 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3822
Practice Address - Country:US
Practice Address - Phone:610-461-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist