Individual
BASHIR IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
Mailing address
2911 E JOPPA RD, PARKVILLE, MD 21234-3021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25761
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25761
REGISTERED PHARMACIST
MD
Enumeration date
02/11/2021
Last updated
03/03/2021
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