IndividualActive
Alexander Kellogg, PHARMD
NPI 1104304765 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Los Angeles, CA
Provider details
- NPI number
- 1104304765
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 77828 (CA)
Mailing address
222 S Main St Apt 2236
Los Angeles, CA 90012-4572
Registry dates
- Enumerated
- 2018-08-04
- Last updated
- 2023-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.