Provider Demographics
NPI:1275368292
Name:REED, ALEXIS CIARA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:CIARA
Last Name:REED
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 1:3215 COASTAL GRASS WAY UNIT 301
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9261
Mailing Address - Country:US
Mailing Address - Phone:510-417-1367
Mailing Address - Fax:
Practice Address - Street 1:2195 TEA PLANTER LN
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7804
Practice Address - Country:US
Practice Address - Phone:843-881-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist