Provider Demographics
NPI:1255964706
Name:DALEY, ALEXA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:DALEY
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 1:4 HARMONY CT
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-4853
Mailing Address - Country:US
Mailing Address - Phone:518-669-1194
Mailing Address - Fax:
Practice Address - Street 1:1256 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4252
Practice Address - Country:US
Practice Address - Phone:315-735-3525
Practice Address - Fax:
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
NY066183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist