MIA AJEKWU BASSARAGH

BOSSIER CITY, LA
NPI1073823449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: LA  19243)
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
Dr. MIA AJEKWU BASSARAGH Pharm.D.
3400 AIRLINE DR.
BOSSIER CITY, LA 71111
Phone number: 318-741-6589
Mailing Address
Dr. MIA AJEKWU BASSARAGH Pharm.D.
2940 LE OAKS DRIVE #1514
BOSSIER, LA 71111
Phone number: 281-224-1424
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