Provider Demographics
NPI:1831906361
Name:COLE, ALEXANDER HARVEY
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:HARVEY
Last Name:COLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 DONALD DR
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03077-1755
Mailing Address - Country:US
Mailing Address - Phone:717-975-7297
Mailing Address - Fax:
Practice Address - Street 1:75 PORTSMOUTH AVE STE 1
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2153
Practice Address - Country:US
Practice Address - Phone:603-778-0553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHINT100361835P0018X
MAPI1676651835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist