Individual
FAZLI COLLAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
475 E STATE RD, AMERICAN FORK, UT 84003-2558
(801) 756-1501
Mailing address
3614 W 2740 N, LEHI, UT 84043-4354
(801) 425-1796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8542947-1701
UT
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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