Provider Demographics
NPI:1447241153
Name:ALEU, AISY (PHARMD,MBA/HSA,CPH)
Entity Type:Individual
Prefix:DR
First Name:AISY
Middle Name:
Last Name:ALEU
Suffix:
Gender:F
Credentials:PHARMD,MBA/HSA,CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:NSU CLINIC PHARMACY
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-262-4550
Mailing Address - Fax:954-262-3865
Practice Address - Street 1:3200 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:NSU CLINIC PHARMACY
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-4558
Practice Address - Fax:954-262-3865
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist