Provider Demographics
NPI:1700814522
Name:ALEXANDER, FREDERICK HAROLD JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:HAROLD
Last Name:ALEXANDER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 POPLAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-3223
Mailing Address - Country:US
Mailing Address - Phone:864-885-1112
Mailing Address - Fax:
Practice Address - Street 1:180 SCENIC HWY
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:SC
Practice Address - Zip Code:29696
Practice Address - Country:US
Practice Address - Phone:864-638-8587
Practice Address - Fax:864-638-9723
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC002999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist