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Organization

BASSO PHARMACY, INC.

Active
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Organization

BASSO PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALIREZA ALIBANAEI PHARM. D. (PRESIDENT)
(805) 242-4575
Entity
Organization

Contact information

Practice address
28880 MICHELLE DR, AGOURA HILLS, CA 91301-2131
(818) 634-4198
Mailing address
PO BOX 2248, AGOURA HILLS, CA 91376-2248
(818) 634-4198

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/09/2020
Last updated
12/09/2020
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