Provider Demographics
NPI:1811529373
Name:MULLINAX, ALEXANDER MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MICHAEL
Last Name:MULLINAX
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3895 CHEROKEE ST NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-6727
Mailing Address - Country:US
Mailing Address - Phone:770-218-7033
Mailing Address - Fax:770-218-7368
Practice Address - Street 1:3895 CHEROKEE ST NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6727
Practice Address - Country:US
Practice Address - Phone:770-218-7033
Practice Address - Fax:770-218-7368
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0278281835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist