Provider Demographics
NPI:1124620752
Name:SCHMID, ALEXANDRA CHRISTINE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:CHRISTINE
Last Name:SCHMID
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 E SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2216
Mailing Address - Country:US
Mailing Address - Phone:218-724-3060
Mailing Address - Fax:218-724-1853
Practice Address - Street 1:1131 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2216
Practice Address - Country:US
Practice Address - Phone:218-724-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN124981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist