Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASSAM AZZAM, BS PHARMACY
Active Sole ProprietorPharmacist · WILDOMAR, CA
Registration Details
- NPI Number
- 1114466653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2017 (9.2106041227312 yrs)
- Last Updated
- Feb 16, 2017
- License
-
32815 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36450 INLAND VALLEY DRWILDOMAR, CA, 92595Browse CA providers · Browse ZIP 92595
- Phone
- 9516003322
- Fax
- 9516003370
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in WILDOMAR, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY ROBERT DUNSKEY | R.PH. | 1861649626 |
| MR. GIANG THANH NGUYEN | PHARM.D | 1427209162 |
| JOHN IPPOLITO | PHARMACIST | 1881911170 |
| KENNETH LESLIE CORUM JR. | — | 1629324181 |
| JENNIFER LANDIS | PHARM.D. | 1093194045 |
| YALDA LYNN HOWARD | PHARMD | 1245614502 |
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.