Provider Demographics
NPI:1821778903
Name:RELAMPAGOS, ALEXIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:RELAMPAGOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LEXI
Other - Middle Name:
Other - Last Name:RELAMPAGOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1015 N 2ND AVE UNIT 440B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1431
Mailing Address - Country:US
Mailing Address - Phone:816-804-2574
Mailing Address - Fax:
Practice Address - Street 1:1015 N 2ND AVE UNIT 440B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1431
Practice Address - Country:US
Practice Address - Phone:816-804-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist