Provider Demographics
NPI:1013510916
Name:ALEXIS, FARRELL FRITZ (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FARRELL
Middle Name:FRITZ
Last Name:ALEXIS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7739 OAK GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7126
Mailing Address - Country:US
Mailing Address - Phone:561-876-5001
Mailing Address - Fax:
Practice Address - Street 1:2390 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7712
Practice Address - Country:US
Practice Address - Phone:561-391-0668
Practice Address - Fax:561-391-4858
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist