Alisa Ida Zevlever Sander, PHARM.D.
Individual provider Active NPI Pharmacist · Elsberry, MO
NPI 1811268071 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1811268071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2011027367 (MO)
- Practice address
- 106 Broadway St Ste a
Elsberry, MO 63343-1345 - Phone
- (573) 898-2550
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011027367 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2011027367 | MO | Yes |
Addresses
Primary practice location
106 Broadway St Ste a
Elsberry, MO 63343-1345
Mailing address
12708 Coeur Du Monde CT Apt J
Saint Louis, MO 63146-1544
Phone (636) 579-9955
Other providers in Elsberry, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.