| Alexandria to Potenza Picena | 586.56 mi (943.98 km) |
| Alexandria to Pozzallo | 743.90 mi (1,197.19 km) |
| Alexandria to Pozzuoli | 611.32 mi (983.83 km) |
| Alexandria to Prato | 707.63 mi (1,138.82 km) |
| Alexandria to Preganziol | 651.47 mi (1,048.43 km) |
| Alexandria to Priolo Gargallo | 709.43 mi (1,141.72 km) |
| Alexandria to Priverno | 639.86 mi (1,029.75 km) |
| Alexandria to Pulsano | 477.65 mi (768.71 km) |
| Alexandria to Putignano | 471.00 mi (758.00 km) |
| Alexandria to Qualiano | 607.34 mi (977.42 km) |
| Alexandria to Quarrata | 713.47 mi (1,148.22 km) |
| Alexandria to Quartu Sant'Elena | 894.11 mi (1,438.94 km) |
| Alexandria to Quartucciu | 894.12 mi (1,438.95 km) |
| Alexandria to Quattro Castella | 735.55 mi (1,183.75 km) |
| Alexandria to Quinto di Treviso | 655.00 mi (1,054.11 km) |
