Provider Demographics
NPI:1205478898
Name:MERKLEY, ALEXIS SHAYE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:SHAYE
Last Name:MERKLEY
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 1:625 COLLEGE PKWY APT 14
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-2905
Mailing Address - Country:US
Mailing Address - Phone:812-309-3611
Mailing Address - Fax:
Practice Address - Street 1:1007 N CURRY ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3975
Practice Address - Country:US
Practice Address - Phone:812-885-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist