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1275261240
FAZLI COLLAKU
AMERICAN FORK, UT
NPI
1275261240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 8542947-1701)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
FAZLI COLLAKU Pharm. D.
475 E STATE RD
AMERICAN FORK, UT 84003-2558
Phone number: 801-756-1501
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Mailing Address
FAZLI COLLAKU Pharm. D.
3614 W 2740 N
LEHI, UT 84043-4354
Phone number: 801-425-1796
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