Provider Demographics
NPI:1114570306
Name:BASSI, MANJIT KAUR (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:MANJIT
Middle Name:KAUR
Last Name:BASSI
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1966 HARDIAL DR
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9428
Mailing Address - Country:US
Mailing Address - Phone:530-933-5901
Mailing Address - Fax:
Practice Address - Street 1:1590 BUTTE HOUSE RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2237
Practice Address - Country:US
Practice Address - Phone:530-755-3846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist