Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIA AJEKWU BASSARAGH, PHARM.D.
Active Sole ProprietorDR. MIA AJEKWU BASSARAGH, PHARM.D. is a Pharmacist Clinician (PhC) healthcare provider located in BOSSIER CITY, Louisiana. NPI 1073823449 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1073823449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2010 (15.779894065947 yrs)
- Last Updated
- Oct 19, 2010
- License
-
19243 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 AIRLINE DR.BOSSIER CITY, LA, 71111Browse LA providers · Browse ZIP 71111
- Phone
- 3187416589
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.