Provider Demographics
NPI:1629335104
Name:STRANSKY, ALEXA MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:MICHELLE
Last Name:STRANSKY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:MICHELLE
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16272 LOOKOUT LANE
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:WA
Mailing Address - Zip Code:98232
Mailing Address - Country:US
Mailing Address - Phone:360-941-1376
Mailing Address - Fax:
Practice Address - Street 1:12992 ROAD 12 NE
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-9394
Practice Address - Country:US
Practice Address - Phone:360-941-1376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60550345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist