Fahad Alazzawi

NPI #1265213714 in Logan, Ohio

Provider Information

NPI Number: 1265213714
Entity Type: Individual
Name: Fahad Alazzawi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 11, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 12910 STATE ROUTE 664 S
City: Logan
State: Ohio
ZIP Code: 43138-8564
Phone: (740) 380-0469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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