Individual provider · NPI-1

Wala Alasfar

Pharmacist · Suwanee, GA

NPI number1174017651
StatusActive
Last updated in NPPESDec 22, 2022

Details

NPI
1174017651
Entity type
Individual (NPI-1)
Name
Wala Alasfar
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2018
Certification date
Dec 22, 2022
Last updated
Dec 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist21661NCYes

Practice location

2075 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2645

Phone 678-377-5258

Mailing address

200 Hawthorne Ln
Charlotte, NC 28204-2515

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