Most Relevant Information
Provider Data
| NPI Number: | 1003523341 |
| Provider Name: | ASNA FAZAL RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051305065 |
Most Important Dates
| Enumeration Date: | 11/04/2022 |
| Last Updated: | 11/04/2022 |
Provider Practice Location
7501 GRAND AVE
GURNEE
IL
600311551
Practice Location Phone/Fax
| Phone: | 8472659641 |
| Fax: |
Provider Mailing Location
687 ASTER DR
GURNEE
IL
600315336
Provider Mailing Phone/Fax
| Phone: | 9738426138 |
| Fax: |