Provider Demographics
NPI:1851380356
Name:PIOTROWSKI, ALEXANDRIA ANNA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:ANNA
Last Name:PIOTROWSKI
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 1:6 HIGHPOINT CIR
Mailing Address - Street 2:APT 502
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4659
Mailing Address - Country:US
Mailing Address - Phone:617-372-2084
Mailing Address - Fax:
Practice Address - Street 1:2216 DORCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-5607
Practice Address - Country:US
Practice Address - Phone:617-296-5100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT99541835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy