Provider Demographics
NPI:1437753365
Name:AASI, HUMAIRA Z (PHARMD)
Entity Type:Individual
Prefix:
First Name:HUMAIRA
Middle Name:Z
Last Name:AASI
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 1:10 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5121
Mailing Address - Country:US
Mailing Address - Phone:847-623-9087
Mailing Address - Fax:847-623-9359
Practice Address - Street 1:10 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-5121
Practice Address - Country:US
Practice Address - Phone:847-623-9087
Practice Address - Fax:847-623-9359
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.286179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist