Provider Demographics
NPI:1811275035
Name:SCHNIBBEN, ALIX PANDOLFINO (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALIX
Middle Name:PANDOLFINO
Last Name:SCHNIBBEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:ALIX
Other - Middle Name:MINOR
Other - Last Name:PANDOLFINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:836 E 65TH ST
Mailing Address - Street 2:MEDICAL ARTS #4
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4434
Mailing Address - Country:US
Mailing Address - Phone:912-819-8407
Mailing Address - Fax:
Practice Address - Street 1:3137 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-8210
Practice Address - Country:US
Practice Address - Phone:912-819-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210824183500000X
GARPH029013183500000X
SC13321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist