Provider Demographics
NPI:1669042784
Name:FOLKERS, ALYXANDRA TERRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALYXANDRA
Middle Name:TERRA
Last Name:FOLKERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALYX
Other - Middle Name:
Other - Last Name:FOLKERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:912 N 20TH AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1299
Mailing Address - Country:US
Mailing Address - Phone:402-957-6868
Mailing Address - Fax:
Practice Address - Street 1:2501 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1305
Practice Address - Country:US
Practice Address - Phone:605-336-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist