Individual
ANOSHA ABDUL BASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12509 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3909
(314) 434-4224
Mailing address
7820 ELTON ST, SAINT LOUIS, MO 63123-3808
(314) 250-9354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023004379
MO
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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