Individual provider · Type 1 NPI

Serena Nicole Fasola, PharmD

Pharmacist · Bala Cynwyd, PA

NPI number 1104730555 Active

Practice location

121 E City Ave
Bala Cynwyd, PA 19004-2485

Mailing address

24 Buckingham Dr
Egg Harbor Township, NJ 08234-7253

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP460768 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104730555

Serena Nicole Fasola, PharmD's National Provider Identifier is 1104730555, issued on Oct 1, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Oct 1, 2026.