Individual provider · NPI-1
Liza Basmajian
Pharmacy Technician · Livonia, MI
NPI number1831767243
StatusActive
Last updated in NPPESJun 12, 2021
Details
- NPI
- 1831767243
- Entity type
- Individual (NPI-1)
- Name
- Liza Basmajian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2021
- Certification date
- Jun 12, 2021
- Last updated
- Jun 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 5303004479 | MI | Yes |
Practice location
37355 8 Mile RdLivonia, MI 48152-1148
Phone 248-474-8657
Mailing address
20774 Wakedon StSouthfield, MI 48033-3642
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