Provider Demographics
NPI:1144908591
Name:STURGELL, ALEXANDRIA LEA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LEA
Last Name:STURGELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:LEA
Other - Last Name:STURGELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9207 SHADY BEND LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3682
Mailing Address - Country:US
Mailing Address - Phone:276-245-8952
Mailing Address - Fax:
Practice Address - Street 1:2710 MAYNARDVILLE HWY
Practice Address - Street 2:
Practice Address - City:MAYNARDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37807-3021
Practice Address - Country:US
Practice Address - Phone:276-245-8952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist