Provider Demographics
NPI:1639872211
Name:MEJIA, ALEXIS SARAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:SARAH
Last Name:MEJIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALEXIS
Other - Middle Name:SARAH
Other - Last Name:MEJIA-GUERRERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1455 N OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7609
Mailing Address - Country:US
Mailing Address - Phone:925-895-7234
Mailing Address - Fax:
Practice Address - Street 1:900 SHAW AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3900
Practice Address - Country:US
Practice Address - Phone:559-299-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH873253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy