Individual
MRS. ADENIKE FASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.PHARM
Contact information
Practice address
4525 CAMERON VALLEY PKWY, CHARLOTTE, NC 28211-4369
(980) 442-9304
Mailing address
1504 HUGH FOREST RD, CHARLOTTE, NC 28270-9797
(980) 442-9304
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
23960
NC
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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