Provider Demographics
NPI:1669142113
Name:DONOVAN, ALEXA M (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:M
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 NASH LN
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2543
Mailing Address - Country:US
Mailing Address - Phone:401-523-5407
Mailing Address - Fax:
Practice Address - Street 1:100 DUDLEY ST FL 2
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3233
Practice Address - Country:US
Practice Address - Phone:401-895-1859
Practice Address - Fax:401-889-5089
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH059531835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care