Azzam, Bassam

Azzam, Bassam is an sole proprietor health care provider with primary practice located at 36450 Inland Valley Dr , Wildomar CA 92595. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Azzam, Bassam can be contacted via phone (951) 600-3322.

Contact Information

Primary practice address
36450 Inland Valley Dr Wildomar CA 92595
Fax: (951) 600-3370
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 32815 California

Profile Details

NPI number 1114466653
LBN Legal business name Azzam, Bassam
Credentials BS PHARMACY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2017
Last updated Feb 16th, 2017 - about 8 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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