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Dr. Mia Ajekwu Bassaragh, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bossier City, Louisiana
NPI 1073823449

Mia Ajekwu Bassaragh is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Bossier, LA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Mia Ajekwu Bassaragh practices in Bossier City, LA and has the professional credentials of PHARMD. The NPI Number for Mia Ajekwu Bassaragh is 1073823449 and holds a License No. 19243 (Louisiana).

The current practice location address for Mia Ajekwu Bassaragh is 3400 Airline Dr., Bossier City, LA and can be reached out via phone at 318-741-6589.

Location: 3400 Airline Dr., Bossier City, LA, 71111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073823449
Provider Name
Mia Ajekwu Bassaragh
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
3400 Airline Dr., Bossier City, LA, 71111
Phone Number
318-741-6589
Fax Number
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Airline Dr.
City
Bossier City
State
Louisiana
Zip
71111
Phone Number
318-741-6589
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Airline Dr.
City
Bossier City
State
Louisiana
Zip
71111
Phone Number
318-741-6589
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
19243 (Louisiana)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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