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Mia Ajekwu Bassaragh, PHARM.D

NPI 1073823449 · on the registry since 2010 · sole proprietor

Practice

Address
3400 Airline Dr.
Bossier City, LA 71111
Phone
(318) 741-6589
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana