Provider Demographics
NPI:1932980489
Name:MENDELL, LEXIE CAROL (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:CAROL
Last Name:MENDELL
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:PO BOX 1954
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337-1954
Mailing Address - Country:US
Mailing Address - Phone:910-549-7663
Mailing Address - Fax:
Practice Address - Street 1:4220 LEGION RD
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8904
Practice Address - Country:US
Practice Address - Phone:910-364-0412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist