DOUGLAS FASNACHT

LUTZ, FL
NPI1417189291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  39620)
Enumeration Date2009-08-13
Last Update Date2010-11-17
Business Address
-- DOUGLAS FASNACHT PharmD
22920 STATE ROAD 54
LUTZ, FL 33549-6931
Phone number: 813-949-7872
Mailing Address
-- DOUGLAS FASNACHT PharmD
22920 STATE ROAD 54
LUTZ, FL 33549-6931
Phone number: 813-949-7872