| Alexandria to Acqui Terme | 833.57 mi (1,341.51 km) |
| Alexandria to Acri | 554.72 mi (892.74 km) |
| Alexandria to Adelfia | 477.37 mi (768.25 km) |
| Alexandria to Adrano | 699.78 mi (1,126.18 km) |
| Alexandria to Adria | 658.00 mi (1,058.95 km) |
| Alexandria to Afragola | 599.40 mi (964.64 km) |
| Alexandria to Agliana | 712.29 mi (1,146.33 km) |
| Alexandria to Agrate Brianza | 790.48 mi (1,272.15 km) |
| Alexandria to Agrigento | 767.32 mi (1,234.88 km) |
| Alexandria to Agropoli | 585.53 mi (942.33 km) |
| Alexandria to Ala | 711.69 mi (1,145.35 km) |
| Alexandria to Alassio | 851.89 mi (1,370.98 km) |
| Alexandria to Alatri | 626.30 mi (1,007.93 km) |
| Alexandria to Alba | 854.86 mi (1,375.76 km) |
| Alexandria to Albano Laziale | 659.21 mi (1,060.90 km) |