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MAYA BASIN RPH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1003009002

Individual Registrant:
 MAYA  BASIN RPH.
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: --

Contact information for business:
250 174TH ST APT 704 SUNNY ISLES BEACH, FL 33160-3323 US
Tel: 917-359-0977  Fax: --

Registration Information:
NPI: 1003009002
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
NY047436
N183500000XPharmacy Service Providers
Pharmacist
NJ28RI03417200
N183500000XPharmacy Service Providers
Pharmacist
FLPS47269

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHARMACIST047436NY01
PHARMACISTPS47269FL01
PHARMACIST28RI03417200NJ01




HEALTH CARE JOBS FL - Page 1



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