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NPI Code Detail

MEDICARE: BILAL AL-BASSISI RPH

MEDICARE: BILAL AL-BASSISI 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
1183500000XPharmacistPST.025029LA

General Provider Information

NPI Number : 1992585624
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILAL AL-BASSISI RPH
Provider Business Mailing Address
First Line : 2192 EMERSON ST
Second Line :
City : GRETNA
State : LA
Zip : 70056-2925
Country : US
Telephone Number : 504-638-6782
Fax Number :
Provider Business Practice Location Address
First Line : 2001 CAROL SUE AVE
Second Line :
City : GRETNA
State : LA
Zip : 70056-4445
Country : US
Telephone Number : 504-366-1535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ BILAL AL-BASSISI RPH” Practice Location

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