Provider Demographics
NPI:1710729066
Name:SPICER, ALEXIS ANN FEARN (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANN FEARN
Last Name:SPICER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 JACK PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8006
Mailing Address - Country:US
Mailing Address - Phone:720-837-4344
Mailing Address - Fax:
Practice Address - Street 1:5745 JACK PL
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-8006
Practice Address - Country:US
Practice Address - Phone:720-837-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist