Individual
DR. ILYAD DARVISH-BASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2355 E STADIUM BLVD, ANN ARBOR, MI 48104-4800
(347) 478-0807
Mailing address
2355 E STADIUM BLVD, ANN ARBOR, MI 48104-4800
(734) 747-8080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212475
VA
183500000X
Pharmacist
Primary
5302047345
MI
183500000X
Pharmacist
RPH-0017032
OR
Other
Enumeration date
08/14/2013
Last updated
02/12/2021
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