Provider Demographics
NPI:1275275570
Name:LOZANO, ALEXANDER RICHARD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:RICHARD
Last Name:LOZANO
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 1:12523 NE 128TH WAY APT H5
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7619
Mailing Address - Country:US
Mailing Address - Phone:816-824-4157
Mailing Address - Fax:
Practice Address - Street 1:12318 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4820
Practice Address - Country:US
Practice Address - Phone:206-306-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021033961183500000X
WA61324948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist