Provider Demographics
NPI:1992713366
Name:ALEXANDER, VALERIE ANN X (DPH)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:ALEXANDER
Suffix:X
Gender:F
Credentials:DPH
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 253
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-0253
Mailing Address - Country:US
Mailing Address - Phone:731-632-1730
Mailing Address - Fax:731-632-9954
Practice Address - Street 1:726 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38310-2458
Practice Address - Country:US
Practice Address - Phone:731-632-1730
Practice Address - Fax:731-632-9954
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9204OtherLICENSE