Provider Demographics
NPI:1366220980
Name:GLAVASKI-JOKSIMOVIC, ALEKSANDRA (PHD, MS, BPHARM)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:GLAVASKI-JOKSIMOVIC
Suffix:
Gender:F
Credentials:PHD, MS, BPHARM
Other - Prefix:
Other - First Name:ALEKSANDRA
Other - Middle Name:
Other - Last Name:GLAVASKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MS, BPHARM
Mailing Address - Street 1:4116 CENTER POINT RD NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-6418
Mailing Address - Country:US
Mailing Address - Phone:319-393-7480
Mailing Address - Fax:
Practice Address - Street 1:4116 CENTER POINT RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-6418
Practice Address - Country:US
Practice Address - Phone:319-393-7480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA248151835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist