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NPI Code Detail

MEDICARE: ASHA FRAZER PHARM.D.

MEDICARE: ASHA FRAZER PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26610NC

General Provider Information

NPI Number : 1205376811
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA FRAZER PHARM.D.
Provider Business Mailing Address
First Line : 4923 RAEFORD RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4923 RAEFORD RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3141
Country : US
Telephone Number : 910-423-1251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2017
Last Update Date : 03/01/2017

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Directions to “ ASHA FRAZER PHARM.D.” Practice Location

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