NPI 1174017651 · live from the CMS NPI Registry
Wala Alasfar
Pharmacist in Suwanee, GA. National Provider Identifier 1174017651, active.
NPI record
| NPI | 1174017651 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 2075 Lawrenceville Suwanee Rd, Suwanee, GA 30024 |
| Practice phone | 678-377-5258 |
| Mailing address | 200 Hawthorne Ln, Charlotte, NC 28204 |
| Enumerated | June 19, 2018 |
| Last updated | December 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 21661 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.