Provider Demographics
NPI:1851664775
Name:GILL, ALEXI JANE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXI
Middle Name:JANE
Last Name:GILL
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 1:6420 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2837
Mailing Address - Country:US
Mailing Address - Phone:972-580-1814
Mailing Address - Fax:972-650-1072
Practice Address - Street 1:6420 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2837
Practice Address - Country:US
Practice Address - Phone:972-580-1814
Practice Address - Fax:972-650-1072
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist