MS. Heather Patricia Fasulo, RPH

NPI #1871876474 in Sault Ste Marie, Michigan

Provider Information

NPI Number: 1871876474
Entity Type: Individual
Name: MS. Heather Patricia Fasulo, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 21, 2011
Last Updated: Sep 21, 2011

Practice Location

Address: 2101 ASHMUN STREET
Address 2: WALGREENS
City: Sault Ste Marie
State: Michigan
ZIP Code: 47983
Phone: (906) 632-5135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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