Provider Demographics
NPI:1932702263
Name:ZALEWSKI, ALEXIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:ZALEWSKI
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 1:2008 EDMONDS RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-1620
Mailing Address - Country:US
Mailing Address - Phone:518-951-6740
Mailing Address - Fax:
Practice Address - Street 1:300 LASKIN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3020
Practice Address - Country:US
Practice Address - Phone:757-437-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202218770OtherPHARMACIST LICENSE
1343977OtherNABP