Provider Demographics
NPI:1790303949
Name:LOTT, ALEXANDER W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:W
Last Name:LOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 CERNAN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4933
Mailing Address - Country:US
Mailing Address - Phone:601-818-0033
Mailing Address - Fax:
Practice Address - Street 1:8094 HWY 72 W
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758
Practice Address - Country:US
Practice Address - Phone:938-218-2923
Practice Address - Fax:938-218-2914
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist