Individual
DR. SAMANTHA ANNE BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5430
Mailing address
2102 26TH ST S UNIT 205, GREAT FALLS, MT 59405-5158
(912) 596-1268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-62925
MT
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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