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NPI Code Detail

MEDICARE: ANUJ BASNET RPH

MEDICARE: ANUJ BASNET RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPHA.0021109CO
2183500000XPharmacist3859WY

General Provider Information

NPI Number : 1003281478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANUJ BASNET RPH
Provider Business Mailing Address
First Line : 2190 W DRAKE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1488
Country : US
Telephone Number : 970-484-5841
Fax Number :
Provider Business Practice Location Address
First Line : 2190 W DRAKE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1488
Country : US
Telephone Number : 970-484-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2015
Last Update Date : 12/09/2015

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