Healthcare Provider Details

I. General information

NPI: 1093951139
Provider Name (Legal Business Name): ASMA ALAZZAWI PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E. CLINTON AVE.
FRESNO CA
93703
US

IV. Provider business mailing address

2530 HERNDON AVENUE # 208
CLOVIS CA
93611
US

V. Phone/Fax

Practice location:
  • Phone: 559-225-6100
  • Fax:
Mailing address:
  • Phone: 909-894-9021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number52948
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: