Provider Demographics
NPI:1639806565
Name:SCHOCH, ALEXIS RAE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RAE
Last Name:SCHOCH
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 1:103 COMMONWEALTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1806
Mailing Address - Country:US
Mailing Address - Phone:276-632-6457
Mailing Address - Fax:
Practice Address - Street 1:103 COMMONWEALTH BLVD W
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1806
Practice Address - Country:US
Practice Address - Phone:276-632-6457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202220645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist