Provider Demographics
NPI:1760054787
Name:HAMES, ALEXUS NICOLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXUS
Middle Name:NICOLE
Last Name:HAMES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N PINE ST STE 32
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3182
Mailing Address - Country:US
Mailing Address - Phone:864-585-9136
Mailing Address - Fax:
Practice Address - Street 1:1000 N PINE ST STE 32
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3182
Practice Address - Country:US
Practice Address - Phone:864-585-9136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist