Provider Demographics
NPI:1336724285
Name:BRANT, ALEXANDRA CLARE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CLARE
Last Name:BRANT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:CLARE
Other - Last Name:PUNTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6824 FARVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1216
Mailing Address - Country:US
Mailing Address - Phone:440-552-2031
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # HB100
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-312-9584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031357881835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist