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NPI Code Detail

MEDICARE: ESTHER FASANMI PHARM.D.

MEDICARE:   ESTHER  FASANMI  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
11835P2201XAmbulatory Care Pharmacist55366TX

General Provider Information

NPI Number : 1679027759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER FASANMI PHARM.D.
Provider Business Mailing Address
First Line : 6061 MONTE VISTA LN
Second Line : APT. 1015
City : FORT WORTH
State : TX
Zip : 76132-5434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1350 S MAIN ST
Second Line : SUITE 1600
City : FORT WORTH
State : TX
Zip : 76104-7611
Country : US
Telephone Number : 817-702-3701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2016
Last Update Date : 08/07/2016

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Directions to “ ESTHER FASANMI PHARM.D.” Practice Location

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