Gabriel Basraj, PharmD
Pharmacist in Cocoa Beach, FL. Individual provider (NPI-1).
NPI number1164027595
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1164027595
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Basraj
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 53085 | FL | Yes |
Practice location
4292 N Atlantic AveCocoa Beach, FL 32931-3512
Phone 321-784-0503
Mailing address
4292 N Atlantic AveCocoa Beach, FL 32931-3512
Phone 321-784-0503
Other practice locations
4292 N Atlantic Ave
Cocoa Beach, FL 32931-3512
Cocoa Beach, FL 32931-3512
Phone 321-784-0503
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