NPI 1265213714 · live from the CMS NPI Registry
Fahad Alazzawi
Pharmacist in Logan, OH. National Provider Identifier 1265213714, active.
NPI record
| NPI | 1265213714 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 12910 State Route 664 S, Logan, OH 43138 |
| Practice phone | 740-380-0469 |
| Mailing address | 3368 Woods Mill Dr, Hilliard, OH 43026 |
| Enumerated | October 11, 2023 |
| Last updated | October 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 03443652 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.