Provider Demographics
NPI:1487388278
Name:SANCHEZ, ALEXNADRA BARDSLEY (RX TECH)
Entity type:Individual
Prefix:
First Name:ALEXNADRA
Middle Name:BARDSLEY
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RX TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23210 57TH AVE W UNIT 155
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-7006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22515 HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8373
Practice Address - Country:US
Practice Address - Phone:425-670-2667
Practice Address - Fax:425-774-1998
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61215357183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician