Individual
DR. TYIKA BASSAGOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1815 CONN AVE NW, WASHINGTON, DC 20009-5702
(202) 332-1718
(202) 332-9033
Mailing address
109 CROYDON CT APT 1, SILVER SPRING, MD 20901-4112
(240) 601-3883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26943
MD
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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