Provider Demographics
NPI:1902103070
Name:PEARCY, ALEXANDRA (RPH)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:PEARCY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 WINDMILL DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2533
Mailing Address - Country:US
Mailing Address - Phone:937-427-7507
Mailing Address - Fax:
Practice Address - Street 1:34 S ALLISON AVE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-3622
Practice Address - Country:US
Practice Address - Phone:937-372-1677
Practice Address - Fax:937-376-4480
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03223629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist