Individual
ANDREA INES BASAGOITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BPHARM, PHD
Contact information
Practice address
4678 FARGO AVE, SAN DIEGO, CA 92117-2406
(209) 600-1567
Mailing address
4347 HUERFANO AVE, SAN DIEGO, CA 92117-3627
(209) 600-1567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH89557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1339156
NABP
—
01
—
RPH89557
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
05/10/2024
Last updated
04/17/2026
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