Provider Demographics
NPI:1487933032
Name:CARY, ALEXA MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:MICHELLE
Last Name:CARY
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 1:19850 KANSAS CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN POINT
Mailing Address - State:MO
Mailing Address - Zip Code:64018-9086
Mailing Address - Country:US
Mailing Address - Phone:573-239-3492
Mailing Address - Fax:
Practice Address - Street 1:19850 KANSAS CITY BLVD
Practice Address - Street 2:
Practice Address - City:CAMDEN POINT
Practice Address - State:MO
Practice Address - Zip Code:64018-9086
Practice Address - Country:US
Practice Address - Phone:573-239-3492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20100275131835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist