Individual provider · Type 1 NPI

Alexis Ketcham, PharmD

Pharmacist · St. Cloud, MN

NPI number 1992624043 Active

Practice location

1406 6th Ave N
St. Cloud, MN 56303-1900

Mailing address

1220 15th St N Apt 2
St. Cloud, MN 56303-1803

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X127372 (MN)
Pharmacist 183500000X7346 (SD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1992624043

Alexis Ketcham, PharmD's National Provider Identifier is 1992624043, issued on Jul 13, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 13, 2026.