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DR. RYAN RENE BASA PHARM.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1083079305
Individual Registrant:DR. RYAN RENE BASA PHARM.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6700 TOPANGA CANYON BLVD CANOGA PARK, CA 91303-2624 US
Tel: 818-746-9923 Fax: --
Tel: 818-746-9923 Fax: --
Contact information for business:
6700 TOPANGA CANYON BLVD CANOGA PARK, CA 91303-2624 US
Tel: 818-746-9923 Fax: --
Tel: 818-746-9923 Fax: --
Registration Information:
NPI: 1083079305
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 74224 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
