Most Relevant Information
Provider Data
| NPI Number: | 1003448796 |
| Provider Name: | MADLEN BASILYAN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 56808 |
Most Important Dates
| Enumeration Date: | 02/10/2020 |
| Last Updated: | 02/10/2020 |
Provider Practice Location
7057 FOOTHILL BLVD
TUJUNGA
CA
910422714
Practice Location Phone/Fax
| Phone: | 8188754158 |
| Fax: | 8188754159 |
Provider Mailing Location
7057 FOOTHILL BLVD
TUJUNGA
CA
910422714
Provider Mailing Phone/Fax
| Phone: | 8188754158 |
| Fax: | 8188754159 |