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MAYA BASIN RPH.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1003009002
Individual Registrant: MAYA BASIN RPH.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
250 174TH ST APT 704 SUNNY ISLES BEACH, FL 33160-3323 US
Tel: 917-359-0977 Fax: --
Tel: 917-359-0977 Fax: --
Contact information for business:
250 174TH ST APT 704 SUNNY ISLES BEACH, FL 33160-3323 US
Tel: 917-359-0977 Fax: --
Tel: 917-359-0977 Fax: --
Registration Information:
NPI: 1003009002
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | NY | 047436 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | NJ | 28RI03417200 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS47269 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHARMACIST | 047436 | NY | 01 |
| PHARMACIST | PS47269 | FL | 01 |
| PHARMACIST | 28RI03417200 | NJ | 01 |
