Individual
MS. HEATHER PATRICIA FASULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2101 ASHMUN STREET, WALGREENS, SAULT STE MARIE, MI 47983
(906) 632-5135
Mailing address
106 HOOD STREET, SAULT STE MARIE, ONTARIO P6C 6-E5
(705) 971-8161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030720
MI
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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