Provider Demographics
NPI:1669755468
Name:SHEFFER, ALEXIS DANIELLE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:DANIELLE
Last Name:SHEFFER
Suffix:
Gender:F
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 1:2023 GARDENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-3240
Mailing Address - Country:US
Mailing Address - Phone:724-734-6552
Mailing Address - Fax:
Practice Address - Street 1:414 S MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2944
Practice Address - Country:US
Practice Address - Phone:850-877-3023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45590183500000X
GARPH025914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist