Provider Demographics
NPI:1184261794
Name:PAXSON, ALEXIS MORGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MORGAN
Last Name:PAXSON
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 1:158 KERNS ST
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25428-3668
Mailing Address - Country:US
Mailing Address - Phone:304-433-5153
Mailing Address - Fax:
Practice Address - Street 1:101 FORBES DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-0002
Practice Address - Country:US
Practice Address - Phone:304-262-4697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0011776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist