| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HUMAIRA Z AASI | 1437753365 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Humaira Z Aasi PHARMD |
| Practice Office Address | 10 S LEWIS AVE WAUKEGAN, IL US |
| Practice Office Telephone | 8476239087 |
| Practice Office Fax | 8476239359 |
| Mailing Address | 10 S LEWIS AVE WAUKEGAN, IL 600855121 US |
| Business Telephone | 8476239087 |
| Business Fax | 8476239359 |
| Pharmacy Email Address [Pharmacy Email Address] | rx0[email protected] | Direct |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | 051.286179 | IL |