Ajekwu Bassaragh, Mia

Ajekwu Bassaragh, Mia is an sole proprietor health care provider with primary practice located at 3400 Airline Dr. , Bossier City LA 71111. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Ajekwu Bassaragh, Mia can be contacted via phone (318) 741-6589.

Contact Information

Primary practice address
3400 Airline Dr. Bossier City LA 71111
Phone: (318) 741-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19243 Louisiana

Profile Details

NPI number 1073823449
LBN Legal business name Ajekwu Bassaragh, Mia
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2010
Last updated Oct 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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