Provider Demographics
NPI:1225336449
Name:AL ASFAR, ALIA KHALED (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ALIA
Middle Name:KHALED
Last Name:AL ASFAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 BUFORD HWY
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3673
Mailing Address - Country:US
Mailing Address - Phone:770-945-7286
Mailing Address - Fax:
Practice Address - Street 1:1950 BUFORD HWY
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3673
Practice Address - Country:US
Practice Address - Phone:770-945-7286
Practice Address - Fax:336-744-7933
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist