| Dr Mia Ajekwu Bassaragh, PHARMD | |
|
3400 Airline Dr., Bossier City, LA 71111 | |
| (318) 741-6589 | |
| Not Available |
| Full Name | Dr Mia Ajekwu Bassaragh |
|---|---|
| Gender | Female |
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
| Location | 3400 Airline Dr., Bossier City, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073823449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 19243 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mia Ajekwu Bassaragh, PHARMD 2940 Le Oaks Drive #1514, Bossier, LA 71111 Ph: (281) 224-1424 | Dr Mia Ajekwu Bassaragh, PHARMD 3400 Airline Dr., Bossier City, LA 71111 Ph: (318) 741-6589 |
Mr. Wayne Dial, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2536 Airline Dr, Bossier City, LA 71111 Phone: 318-422-0182 | |
Colby Alexas Williams, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2735 Beene Blvd, Bossier City, LA 71111 Phone: 318-678-6801 | |
Dr. La Tisha P. Bowie, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2107 Airline Dr, Bossier City, LA 71111 Phone: 318-742-5590 Fax: 318-742-8457 | |
Mr. Kristopher Brent Blaylock, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 801 Benton Rd, Bossier City, LA 71111 Phone: 318-742-3509 Fax: 318-742-7730 | |
Amy Authement, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1870 Airline Dr, Bossier City, LA 71112 Phone: 318-746-8401 Fax: 318-746-8402 | |
Dr. Shawn Michael Manor, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4918 Barksdale Blvd, Bossier City, LA 71112 Phone: 318-549-2107 |